Assessing the Immunization Information System and electronic health record interface accuracy for COVID-19 vaccinations.

Autor:	McGreevy S; Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA., Murray M; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA., Montero L; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA., Gibson C; Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA., Comfort B; Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA., Barry M; School of Medicine, University of Kansas, Kansas City, Kansas, USA., Kirmer-Voss K; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA., Coy A; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA., Zufer T; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA., Rampon KH; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA., Woodward J; Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA.
Jazyk:	angličtina
Zdroj:	JAMIA open [JAMIA Open] 2023 Apr 13; Vol. 6 (2), pp. ooad026. Date of Electronic Publication: 2023 Apr 13 (Print Publication: 2023).
DOI:	10.1093/jamiaopen/ooad026
Abstrakt:	Objective: Our objective is to assess the accuracy of the COVID-19 vaccination status within the electronic health record (EHR) for a panel of patients in a primary care practice when manual queries of the state immunization databases are required to access outside immunization records. Materials and Methods: This study evaluated COVID-19 vaccination status of adult primary care patients within a university-based health system EHR by manually querying the Kansas and Missouri Immunization Information Systems. Results: A manual query of the local Immunization Information Systems for 4114 adult patients with "unknown" vaccination status showed 44% of the patients were previously vaccinated. Attempts to assess the comprehensiveness of the Immunization Information Systems were hampered by incomplete documentation in the chart and poor response to patient outreach. Conclusions: When the interface between the patient chart and the local Immunization Information System depends on a manual query for the transfer of data, the COVID-19 vaccination status for a panel of patients is often inaccurate. Competing Interests: None declared. (© The Author(s) 2023. Published by Oxford University Press on behalf of the American Medical Informatics Association.)
Databáze:	MEDLINE
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