Overcoming Barriers to Pneumococcal Vaccination in Patients With Pneumonia
| Autor: | Danielle Scheurer, Patrick J. Cawley, John E. Heffner, Shirley B. Brown |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
South Carolina MEDLINE Pneumococcal Infections 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Community-acquired pneumonia Intervention (counseling) medicine Humans 030212 general & internal medicine Intensive care medicine Primary nursing Aged Inpatients business.industry 030503 health policy & services Health Policy Decision Support Systems Clinical medicine.disease Community-Acquired Infections Vaccination Pneumonia Pneumococcal vaccination Immunization 0305 other medical science business Educational program |
| Zdroj: | American Journal of Medical Quality. 21:18-29 |
| ISSN: | 1555-824X 1062-8606 |
| DOI: | 10.1177/1062860605280314 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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