title: Point of care experience with pneumococcal and influenza vaccine documentation among persons aged ≥65 years: high refusal rates and missing information.
abstract: Missed opportunities to vaccinate and refusal of vaccine by patients have hindered the achievement of national health care goals. The meaningful use of electronic medical records should improve vaccination rates, but few studies have examined the content of these records. In our vaccine intervention program using an electronic record with physician prompts, paper prompts, and nursing standing orders, we were unable to achieve national vaccine goals, due in large part to missing information and patient refusal.
authors.affiliation: Division of General Internal Medicine and Geriatrics, College of Medicine, Medical University of South Carolina, Charleston, SC 29425-0591, USA. brownfe@musc.edu
authors.forename: Elisha
authors.initials: E
authors.lastname: Brownfield
authors.forename: Justin E
authors.initials: JE
authors.lastname: Marsden
authors.forename: Patty J
authors.initials: PJ
authors.lastname: Iverson
authors.forename: Yumin
authors.initials: Y
authors.lastname: Zhao
authors.forename: Patrick D
authors.initials: PD
authors.lastname: Mauldin
authors.forename: William P
authors.initials: WP
authors.lastname: Moran
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage* / Q000276:immunology*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D011008:Pneumococcal Infections / Q000517:prevention & control*; D022242:Pneumococcal Vaccines / Q000008:administration & dosage* / Q000276:immunology*
chemical_list: D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines