Utility of an Immunization Registry in a Pediatric Emergency Department

Callahan, James M.; Reed, Darren; Meguid, Victoria; Wojcik, Susan; Reed, Katie

doi:10.1097/01.pec.0000125657.05196.55

Cited by 14 publications

(5 citation statements)

References 12 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prior to 2010, estimates of influenza vaccination coverage, assessed using data from the National Immunization Survey (NIS) or the National Health Interview Survey, were not published until the year after the most recent influenza season. Finally, 1 abstract 216 evalu-* References 11,33,34,36,51,54,107,109,114, †References 33,34,36,51,54,114,158,118,121,122,124,125,[131][132][133][138][139][140]143,[145][146][147][148][149][151][152][153][154][155][156][157][158][159][160][161]163,166,167. §References 170, 172-175, 183-185, 187, 188, 191, 197, 199, 201, 203, 205, 212-214. ¶References …”

Section: Iis As a Tool For Public Health Decision Supportmentioning

confidence: 99%

Immunization Information Systems to Increase Vaccination Rates

Groom

Hopkins

Pabst

et al. 2015

Journal of Public Health Management and Practice

142

View full text Add to dashboard Cite

show abstract

Section: Iis As a Tool For Public Health Decision Supportmentioning

confidence: 99%

Immunization Information Systems to Increase Vaccination Rates

Groom

Hopkins

Pabst

et al. 2015

Journal of Public Health Management and Practice

142

View full text Add to dashboard Cite

show abstract

“…In addition, a limited ability to ascertain adolescents' immunization status in the emergency department and a general reluctance of parents to allow their children to be vaccinated during emergency department visits, especially if immunization records are not readily available, continue to be barriers that hinder efforts to provide vaccinations there. 46,47 Hence, it is unlikely that the routine administration of vaccines to adolescents in emergency departments will soon become a widespread practice or will have a substantial impact on adolescent-immunization rates. Nevertheless, because emergency departments provide services to large numbers of adolescents who do not routinely receive preventive care elsewhere, 36 their potential to contribute to adolescent-vaccination efforts should be explored further.…”

Section: Hospital Emergency Departmentsmentioning

confidence: 99%

How Effectively Can Health Care Settings Beyond the Traditional Medical Home Provide Vaccines to Adolescents?

Schaffer

Fontanesi²,

Rickert

et al. 2008

Pediatrics

View full text Add to dashboard Cite

OBJECTIVES. Our goal was to evaluate the capacity of various health care settings to supplement the activities of the traditional medical home by delivering vaccines to adolescents. METHODS.A group of experts in the fields of adolescent-immunization delivery and the provision of preventive care in various health care settings summarized the available literature, considered setting-specific factors, and assessed the ability of various health care settings beyond the traditional medical home to conform to the immunization quality standards set by the National Vaccine Advisory Committee, report vaccination information for the quantitative assessment of vaccine-coverage rates, be likely to offer vaccines to adolescents, and be viewed by adolescents as acceptable sites for receiving vaccinations.RESULTS. Seven candidate settings were evaluated: pharmacies, obstetrics-gynecology practices, sexually transmitted disease clinics, hospital emergency departments, family planning clinics, teen clinics, and local public health department immunization clinics. The panel concluded that all could safely provide vaccinations to adolescents but that vaccination efforts at some of the settings could potentially have a markedly greater impact on overall adolescent-immunization rates than could those at other settings. In addition, for adolescent-vaccination services to be practical, candidate settings need to have a clear interest in providing them. Conditional on that, several issues need to be addressed: (1) funding; (2) orienting facilities to provide preventive care services; (3) enhancing access to immunization registries; and (4) clarifying issues related to immunization consent.CONCLUSIONS. With supporting health policy, health education, and communication, health care settings beyond the traditional medical home have the potential to effectively augment the vaccination efforts of more traditional settings to deliver vaccines to adolescents. These health care settings may be particularly well suited to reach adolescents who lack access to traditional sources of preventive medical care or receive fragmented medical care.

show abstract

“…The Centers for Disease Control and Prevention (CDC) defines immunization information systems (IISs) as “confidential, population-based, computerized databases that record all immunization doses administered by participating providers to persons residing within a given geopolitical area.”1 Every IIS functions slightly different, but the goal for each system is to capture immunizations in an accurate and timely manner and to consolidate all immunization doses administered to an individual into a single, complete record 2. These systems, when used appropriately, can assist medical professionals in administering appropriate and timely vaccinations rather than relying on their patients' ability to remember their vaccination history 3. IIS literature primarily focuses on its use as a tool to encourage immunization and make sure all individuals stay up to date.…”

mentioning

confidence: 99%

“…2 These systems, when used appropriately, can assist medical professionals in administering appropriate and timely vaccinations rather than relying on their patients' ability to remember their vaccination history. 3 IIS literature primarily focuses on its use as a tool to encourage immunization and make sure all individuals stay up to date. Over-immunization, or administration of excess doses of vaccine, is an understudied topic in immunization and not a common focus when discussing IIS uses.…”

mentioning

confidence: 99%

Understanding Over-immunization in North Dakota's Adult Population

Dykstra

Woinarowicz

Howell

2023

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

Context: Over-immunization, or administration of excess doses of vaccine, is an understudied topic in immunization. Adult over-immunization is particularly understudied, so building a basic understanding of the sources and scope of over-immunization is necessary to direct action. Objective: The aim of this evaluation was to quantify the extent of over-immunization in North Dakota's adult population from 2016 to 2021. Design: Records for all pneumococcal, zoster, and influenza vaccines administered to adults in North Dakota were extracted from the North Dakota Immunization Information System (NDIIS) from January 1, 2016, through December 31, 2021. The NDIIS is a state-wide immunization registry that captures all childhood and most adult immunizations. Setting: North Dakota. Participants: North Dakotan adults 19 years or older. Main Outcome Measure: The number and percentage of adults identified as over-immunized as well as the number and percentage of doses identified as an extra dose. Results: Frequency of over-immunization was less than 3% for all vaccines over the 6-year period assessed. Pharmacies and private practices were the most common sources of over-immunization of adults. Conclusions: These data show that over-immunization is still an issue in North Dakota, although the percentage of the adult population impacted is low. Reducing over-immunization is worth pursuing but should be balanced with the importance of improving low immunization coverage rates in the state. Improving utilization of the NDIIS by adult providers can help prevent over-immunization and under-immunization alike.

show abstract

Utility of an Immunization Registry in a Pediatric Emergency Department

Cited by 14 publications

References 12 publications

Immunization Information Systems to Increase Vaccination Rates

Immunization Information Systems to Increase Vaccination Rates

How Effectively Can Health Care Settings Beyond the Traditional Medical Home Provide Vaccines to Adolescents?

Understanding Over-immunization in North Dakota's Adult Population

Contact Info

Product

Resources

About