title: Feasibility of integrating a clinical decision support tool into an existing computerized physician order entry system to increase seasonal influenza vaccination in the emergency department.
abstract: While emergency department (ED) seasonal influenza vaccination programs are feasible, reported implementation barriers include added staffing requirements to identify eligible patients and getting busy ED personnel to order and provide vaccination. We present a prospective, observational trial of integrating a clinical decision support tool into an existing ED computerized physician order entry (CPOE) system to increase ED seasonal influenza vaccination without added staffing resources, the operational barriers identified to program implementation, the revenue generated and data on opportunities for future quality improvement. Compared to the comparable pre-protocol period, ED influenza vaccination rose by 17.5% with a resultant profit margin of 34.5%.
authors.affiliation: Department of Emergency Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA. avenkat@wpahs.org
authors.forename: Arvind
authors.initials: A
authors.lastname: Venkat
authors.forename: Noreen H
authors.initials: NH
authors.lastname: Chan-Tompkins
authors.forename: Gajanan G
authors.initials: GG
authors.lastname: Hegde
authors.forename: David M
authors.initials: DM
authors.lastname: Chuirazzi
authors.forename: Roger
authors.initials: R
authors.lastname: Hunter
authors.forename: Jillian M
authors.initials: JM
authors.lastname: Szczesiul
mesh_terms: D000293:Adolescent; D000328:Adult; D020000:Decision Support Systems, Clinical; D004636:Emergency Service, Hospital; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D008297:Male; D050316:Medical Order Entry Systems; D008875:Middle Aged; D011446:Prospective Studies; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines