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Development of a Pharmacy Technician–Driven Program to Improve Vaccination Rates at an Academic Medical Center

机译:制定由药剂师驱动的计划以提高学术医学中心的疫苗接种率

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摘要

>Background: Influenza and pneumococcal disease contribute substantially to the burden of preventable disease in the United States. Despite quality measures tied to immunization rates, health systems have struggled to achieve these targets in the inpatient setting. Pharmacy departments have had success through implementation of pharmacist standing order programs (SOP); however, these initiatives are labor-intensive and have not resulted in 100% immunization rates. >Objective: The objective of this study was to evaluate a pilot utilizing pharmacy technician interventions, in combination with a nursing SOP, to improve vaccination rates of hospitalized patients for influenza and pneumococcal disease. >Methods: A process was developed for pharmacy technicians to identify patients who were not previously screened or immunized during the weekend days on the Cardiovascular Progressive Care unit at the University of Kansas Health-System. Targeted pharmacy technician interventions consisted of phone call reminders and face-to-face discussions with nursing staff. The primary study outcome was the change in immunization compliance rates between the control and intervention groups. >Results: Influenza vaccine rates showed a statistically significant increase from 72.2% (52 of 72) of patients during the control group to 92.9% (65 of 70, P = .001) of patients during the intervention group. A pneumococcal vaccination rate of 81.3% (61 of 75) was observed in the control group, compared with 84.3% (59 of 70) of patients in the intervention group (P = .638). >Conclusion: An improvement in inpatient influenza immunization rates can be achieved through targeted follow-up performed by pharmacy technicians, in combination with a nursing-driven SOP.
机译:>背景:在美国,流感和肺炎球菌病是造成可预防疾病负担的重要原因。尽管有与免疫率相关的质量指标,但卫生系统仍难以在住院环境中实现这些目标。药房部门通过实施药剂师常规命令计划(SOP)取得了成功;但是,这些举措劳动强度大,并且尚未实现100%的免疫率。 >目的:本研究的目的是评估利用药房技术人员干预措施与护理SOP相结合的飞行员,以提高住院患者的流感和肺炎球菌疾病疫苗接种率。 >方法:为药房技术人员开发了一种流程,以识别先前在周末期间未在堪萨斯大学卫生系统的心血管进展护理部门接受过筛查或免疫的患者。有针对性的药房技术人员干预措施包括电话提醒和与护理人员的面对面讨论。主要研究结果是对照组和干预组之间的免疫依从率变化。 >结果:流感疫苗接种率从对照组的72.2%(72名中的52名)上升到干预组的92.9%(70名中的65名,P = .001),具有统计学意义的提高。对照组的肺炎球菌疫苗接种率为81.3%(75中的61),而干预组的患者为84.3%(70中的59)(P = .638)。 >结论:通过由药房技术人员进行有针对性的随访并结合护理驱动的SOP,可以提高住院流感疫苗接种率。

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