Feasibility of integrating a clinical decision support tool into an existing computerized physician order entry system to increase seasonal influenza vaccination in the emergency department

被引:12
作者
Venkat, Arvind [1 ]
Chan-Tompkins, Noreen H. [2 ]
Hegde, Gajanan G. [3 ]
Chuirazzi, David M. [1 ]
Hunter, Roger [1 ]
Szczesiul, Jillian M. [2 ]
机构
[1] Allegheny Gen Hosp, Dept Emergency Med, Pittsburgh, PA 15212 USA
[2] Allegheny Gen Hosp, Dept Pharm Serv, Pittsburgh, PA 15212 USA
[3] Univ Pittsburgh, Katz Grad Sch Business, Pittsburgh, PA 15260 USA
关键词
Seasonal influenza vaccination; Emergency department; Computerized physician order entry; PNEUMOCOCCAL VACCINATION; HIGH-RISK; IMMUNIZATION; REMINDERS;
D O I
10.1016/j.vaccine.2010.06.090
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
While emergency department (ED) seasonal influenza vaccination programs are feasible, reported implementation barriers include added staffing requirements to identify eligible patients and getting busy ED personnel to order and provide vaccination. We present a prospective, observational trial of integrating a clinical decision support tool into an existing ED computerized physician order entry (CPOE) system to increase ED seasonal influenza vaccination without added staffing resources, the operational barriers identified to program implementation, the revenue generated and data on opportunities for future quality improvement. Compared to the comparable pre-protocol period, ED influenza vaccination rose by 17.5% with a resultant profit margin of 34.5%. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:6058 / 6064
页数:7
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