title: The power of involving house staff in quality improvement: an interdisciplinary house staff-driven vaccination initiative.
abstract: Immunization for influenza and pneumococcal pneumonia were incorporated into The Joint Commission "global immunization" core measure January 1, 2012. The authors' hospital chose to adhere strictly to guidelines to avoid overvaccination. An immunization order set was created to aid appropriate ordering practices. In spite of this effort, compliance rates remained below the goal. The objective was to improve compliance with inpatient vaccination core measures to >96%. An educational slide set was created and distributed by the Housestaff Patient Safety and Quality Council (HPSQC). A competition was established among departments. Finally, the HPSQC partnered with quality improvement staff to improve communication and optimize concurrent review processes. The average compliance prior to the HPSQC vaccination initiative was 78% for pneumococcal pneumonia and 84% for influenza; average compliance in the months following the intervention was 96% and 97.5%, respectively. This project yielded significant improvement in compliance with vaccination core measures.
authors.affiliation: Johns Hopkins University, Baltimore, MD Johns Hopkins University Armstrong Institute, Baltimore, MD Speter14@jhmi.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Peterson
authors.affiliation: Johns Hopkins Health System, Baltimore, MD.
authors.forename: Ryan
authors.initials: R
authors.lastname: Taylor
authors.affiliation: Johns Hopkins University Armstrong Institute, Baltimore, MD.
authors.forename: Melinda
authors.initials: M
authors.lastname: Sawyer
authors.affiliation: Johns Hopkins University, Baltimore, MD Johns Hopkins University Armstrong Institute, Baltimore, MD.
authors.forename: Paul
authors.initials: P
authors.lastname: Nagy
authors.affiliation: Johns Hopkins University Armstrong Institute, Baltimore, MD.
authors.forename: Lori
authors.initials: L
authors.lastname: Paine
authors.affiliation: Johns Hopkins University, Baltimore, MD Johns Hopkins University Armstrong Institute, Baltimore, MD.
authors.forename: Sean
authors.initials: S
authors.lastname: Berenholtz
authors.affiliation: Johns Hopkins University, Baltimore, MD.
authors.forename: Redonda
authors.initials: R
authors.lastname: Miller
authors.affiliation: Johns Hopkins University, Baltimore, MD.
authors.forename: Brent
authors.initials: B
authors.lastname: Petty
mesh_terms: D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control; D033183:Interdisciplinary Communication; D008505:Medical Staff, Hospital; D061214:Patient Safety; D011018:Pneumonia, Pneumococcal / Q000517:prevention & control; D024382:Professional Role; D058996:Quality Improvement; D014611:Vaccination
keywords: house staff; patient safety; quality improvement; vaccination