title: Interventions to improve dissemination and implementation of Hepatitis B vaccination in patients with diabetes.
abstract: OBJECTIVE
  The purpose of this study was to assess provider awareness of routine vaccinations recommended for patients with diabetes and to determine whether pharmacist-led interventions are associated with increased provider implementation of recommendations for hepatitis B vaccination.
  
  
  METHODS
  This study was conducted in 3 phases at 2 outpatient clinics affiliated with an academic institution. In phase 1, adults with diabetes who visited the clinics between January and November 2012 and who were eligible for the hepatitis B vaccine were identified. In phase 2, medical residents were surveyed twice for vaccine recommendations and reasons for (not) recommending the hepatitis B vaccine, specifically. Residents were then provided a pharmacist-led in-service about hepatitis B vaccine recommendations. The third phase was initiated in April 2013, following postintervention observation from December 2012 through March 2013.
  
  
  RESULTS
  Forty-eight of 100 (48%) medical residents attended the in-service and completed both surveys, with 77% indicating they did not recommend the hepatitis B vaccine. During phase 1, 1441 patients were identified, 0.6% (n = 8) of whom had received at least the first dose of the series. In phase 3, 946 patients were identified with 1.7% (n = 16) having received at least the first dose (P = 0.007).
  
  
  CONCLUSIONS
  An attempt to disseminate updated recommendations to providers via educational in-service was successful in increasing the percentage of eligible patients vaccinated with the hepatitis B vaccine.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Matta
authors.forename: Katherine S
authors.initials: KS
authors.lastname: O'Neal
authors.forename: Jeremy L
authors.initials: JL
authors.lastname: Johnson
authors.forename: Sandra M
authors.initials: SM
authors.lastname: Carter
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Lamb
authors.forename: Lourdes G
authors.initials: LG
authors.lastname: Planas
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006509:Hepatitis B / Q000517:prevention & control; D017325:Hepatitis B Vaccines / Q000008:administration & dosage*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010595:Pharmacists / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D017325:Hepatitis B Vaccines