title: Evolution of clinical decision support to increase influenza vaccination.
abstract: 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.
authors.affiliation: John H. Stroger Jr. Hospital, Cook County Bureau of Health Service,Chicago, IL, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Gerard
authors.forename: Krishna
authors.initials: K
authors.lastname: Das
authors.forename: William E
authors.initials: WE
authors.lastname: Trick
authors.forename: Marjorie
authors.initials: M
authors.lastname: Charles-Damte
mesh_terms: 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
chemical_list: D007252:Influenza Vaccines