title: Implementing a computerized pneumococcal vaccination reminder system in an emergency department: a prospective study.
abstract: 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%.
authors.affiliation: Departments of Biomedical Informatics,Vanderbilt University, Nashville, TN, USA.
authors.forename: Judith W
authors.initials: JW
authors.lastname: Dexheimer
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Talbot
authors.forename: Fei
authors.initials: F
authors.lastname: Ye
authors.forename: Yu
authors.initials: Y
authors.lastname: Shyr
authors.forename: Ian
authors.initials: I
authors.lastname: Jones
authors.forename: Willliam M
authors.initials: WM
authors.lastname: Gregg
authors.forename: Dominik
authors.initials: D
authors.lastname: Aronsky
mesh_terms: 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
chemical_list: D022242:Pneumococcal Vaccines