Evolution of clinical decision support to increase influenza vaccination.
Over three influenza seasons spanning four years we evaluated the effect of standing orders, reminders, and iterations of Clinical Decision Support (CDS) to increase influenza (flu) vaccination among inpatients. Using CDS, coverage increased over each season: (0%, 12%, 35%). However, success was realized only after integration of the electronic medication administration record (E-MAR). Standing orders and reminders were ineffective.
Gerard
Mary
M
John H. Stroger Jr. Hospital, Cook County Bureau of Health Service,Chicago, IL, USA.
Das
Krishna
K
Trick
William E
WE
Charles-Damte
Marjorie
M
D003658:Decision Making, Computer-Assisted; D019983:Guideline Adherence; D006801:Humans; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000517:prevention & control*; D007388:Internal Medicine; D016347:Medical Records Systems, Computerized; D009737:Nursing Records; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D014611:Vaccination / Q000706:statistics & numerical data
D007252:Influenza Vaccines