Implementing a computerized pneumococcal vaccination reminder system in an emergency department: a prospective study.
The Emergency Department is a challenging environment to implement a sustainable pneumococcal vaccination program. To increase vaccination rates for patients > or = 65 years old, we prospectively evaluated a closed-loop informatics approach over a 1-year period. Among 3,455 screened patients 1,393 were up-to-date and 2,062 were eligible for the vaccination. 159 (7.7%) patients received the vaccine at the initial visit and an additional 59 (2.9%) at a subsequent visit, resulting in an overall rate increase of 10.6%.
Dexheimer
Judith W
JW
Departments of Biomedical Informatics,Vanderbilt University, Nashville, TN, USA.
Talbot
Thomas R
TR
Ye
Fei
F
Shyr
Yu
Y
Jones
Ian
I
Gregg
Willliam M
WM
Aronsky
Dominik
D
D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000458:organization & administration* / Q000706:statistics & numerical data*; D011008:Pneumococcal Infections / Q000517:prevention & control*; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D017010:Reminder Systems / Q000706:statistics & numerical data*; D014481:United States
D022242:Pneumococcal Vaccines