Clinical trial of standing-orders strategies to increase the inpatient influenza vaccination rate.
We compared strategies to increase the rate of influenza vaccination. A written standing-orders policy that enabled nurses to vaccinate patients was compared with augmentation of the standing-orders policy with either electronic opt-out orders for physicians or electronic reminders to nurses. Use of opt-out orders yielded the highest vaccination rate (12% of patients), followed by use of nursing reminders (6%); use of the standing-orders policy alone was ineffective.
Trick
William E
WE
Department of Medicine, John H. Stroger Hospital of Cook County and Rush Medical College, Chicago, Illinois 60612, USA. wtrick@cchil.org
Das
Krishna
K
Gerard
Mary N
MN
Charles-Damte
Marjorie
M
Murphy
Gregory
G
Benson
Irene
I
Morita
Julia Y
JY
D000328:Adult; D000368:Aged; D002985:Clinical Protocols; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D017010:Reminder Systems; D014611:Vaccination / Q000592:standards / Q000706:statistics & numerical data
D007252:Influenza Vaccines