Overcoming barriers to pneumococcal vaccination in patients with pneumonia.
Am J Med Qual
; 21(1): 18-29, 2006.
Article
em En
| MEDLINE
| ID: mdl-16401702
ABSTRACT
Inpatient pneumococcal vaccination remains underutilized, and little data exist to guide hospital personnel in improving their performance. The authors report their experience with a stepwise program to improve vaccination assessment rates for hospitalized patients with community-acquired pneumonia. They assessed barriers to vaccination and applied a stepwise educational and intranet-based decision support implementation program for hospitalized patients with community-acquired pneumonia. Preintervention vaccination rates were 0%. Primary nursing and physician barriers were assessed. An educational intervention increased vaccination assessment rates to 35%, a nursing decision-support tool to 42%, and approval of a standing order policy to 96%. For patients older than 65 years, vaccination assessment rates increased 33%, 67%, and 100%, respectively. An educational program combined with a decision support tool and a standing order policy can improve vaccination assessment rates to high levels. This study suggests that a multidimensional intervention is required to improve compliance with inpatient vaccination best clinical practices.
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Base de dados:
MEDLINE
Assunto principal:
Infecções Pneumocócicas
/
Imunização
/
Pacientes Internados
Tipo de estudo:
Prognostic_studies
Limite:
Aged
/
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article