Lack of effect of a pneumonia clinical pathway on hospital-based pneumococcal vaccination rates

Improving the Rates of Inpatient Pneumococcal Vaccination: Impact of Standing Orders Versus Computerized Reminders to Physicians

“…[11][12][13][14][15][16] A variety of approaches to promote inpatient pneumococcal vaccination have been implemented, including computerized reminders to physicians at the time of patient discharge, stamped notes on hospital charts, vaccination prompts embedded in pneumonia clinical pathways, and standing orders protocols. [11][12][13][14][15][16][17][18][19][20][21][22][23][24] Study methodologies and interventions and reported results vary. 11 None of the most successful immunization programs described to date has depended on active physician participation.…”

Effect of a pharmacist-managed program of pneumococcal and influenza immunization on vaccination rates among adult inpatients

“…Immunization programs targeting hospitalized patients have utilized chart reminders to physicians, flagged charts identifying high-risk patients, and provided vaccination standing orders completed by non-physicians for eligible patients. 9,10,[12][13][14][15][16][17][18][19] The Centers for Disease Control and Prevention (CDC) has advocated both inpatient immunization and the use of standing orders to increase vaccination rates among high-risk individuals. 20,21 The purpose of this study was to determine the effect of a pharmacistmanaged program of pneumococcal and influenza immunization utilizing standing orders on vaccination rates among high-risk adult inpatients at a university teaching hospital.…”

“…One study evaluating the effect of standing orders completed by emergency department nurses found influenza and pneumococcal immunization rates of 62% and 34%, respectively, among previously nonimmunized, eligible patients. 12 Another study of standing orders for pneumococcal vaccination completed by an infection-control nurse observed an immunization rate of 78%. 13 In our study, approximately 71% and 55% of screened, eligible patients in the intervention group were given pneumococcal and influenza vaccines, respectively.…”

Failure to Vaccinate Medicare Inpatients

“…[10][11][12][13][14] Despite the risk of subsequent disease, immunization status is often not documented and vaccination is rarely offered to hospitalized patients. 8,[15][16][17][18] The Advisory Committee on Immunization Practices (ACIP) recommends administration of influenza and pneumococcal vaccines to inpatients as a strategy for increasing vaccination coverage among adults. 2,3 As a part of the Centers for Medicare & Medicaid Service (CMS) national efforts to improve the quality of care given to Medicare beneficiaries, we evaluated the utilization of influenza and pneumococcal vaccines in a large cohort of patients admitted to the hospital during 1998 and 1999. previously published.…”