Impact of pharmacist intervention on influenza vaccine assessment and documentation in hospitalized psychiatric patients
| Autor: | Maribeth Cabie, Chandra Cooper, Stephanie Cotugno, Gina Morrow, Sara Cohn |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Influenza vaccine Psychological intervention Pharmacy Documentation Pharmacists Tertiary Care Centers Treatment Refusal 03 medical and health sciences Young Adult 0302 clinical medicine Professional Role Mentally Ill Persons Influenza Human medicine Humans 030212 general & internal medicine Prospective Studies Psychiatry Pharmacist intervention Aged Pharmacology Aged 80 and over Psychiatric Disease business.industry Health Policy Mental Disorders Vaccination Middle Aged Quality Improvement 030227 psychiatry Hospitalization Influenza Vaccines Inpatient Psychiatric Facility Emergency medicine Practice Guidelines as Topic Population study Female Guideline Adherence business |
| Zdroj: | American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 74(23 Supplement 4) |
| ISSN: | 1535-2900 |
| Popis: | Purpose Results of an initiative to improve assessment and documentation of the influenza vaccination status of adult psychiatric inpatients are reported. Methods A prospective quality-improvement study was conducted at a large, tertiary care academic medical center with the aim of improving compliance with the Influenza Immunization (IMM-2) quality measure, which was added to the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program in 2015 and requires assessment and documentation of influenza vaccination status in specified groups of psychiatric inpatients. The primary objective was to improve the IMM-2 IPFQR compliance rate to 100% during the 2015–16 influenza season from a rate of 55% during the 2014–15 influenza season through pharmacist interventions; secondary objectives included analysis of types of pharmacist interventions, rates of influenza vaccination status assessment and ordering, and rates of vaccine refusal by psychiatric disease state. Results With pharmacist interventions, the IMM-2 IPFQR compliance rate was increased to 99% during the 2015–16 influenza season. Of the 1,413 patients included in the study population, 45% ( n = 646) were targeted for pharmacist intervention. Influenza vaccine was ordered for 61% of the study population ( n = 867 patients), with an overall refusal rate of 74% ( n = 642). Differences in refusal rates by psychiatric diagnosis were not significant. Conclusion Pharmacist-conducted education of nurses and interventions to ensure completion of influenza vaccine assessments and documentation led to an improved IMM-2 IPFQR compliance rate at the study site. |
| Databáze: | OpenAIRE |
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