Related Experiment Video
Updated: May 30, 2026
07:47
Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Do immunisation procedures match provider perception? A study from the South Carolina Pediatric Practice Research
James R Roberts1, Katherine D Freeland, Maureen S Kolasa
1South Carolina Pediatric Practice Research Network, Medical University of South Carolina, Charleston, SC, USA. robertsj@musc.edu
Quality in Primary Care
|July 26, 2011
Summary
Improving childhood immunisation rates requires understanding current delivery processes. Practices should enhance record-keeping and prompt for needed vaccines during sick visits to boost vaccination coverage.
Area of Science:
- Pediatric primary care
- Public health interventions
- Quality improvement in healthcare
Background:
- Childhood immunisation coverage in US primary care is below the 80% target.
- Understanding current immunisation delivery processes is crucial for improvement.
Purpose of the Study:
- Identify key components for quality improvement (QI) strategies in immunisation delivery.
- Assess current immunisation delivery processes in pediatric practices.
Main Methods:
- Surveyed representatives from six pediatric practices in South Carolina.
- Conducted direct observation of immunisation delivery and reviewed patient charts.
- Validated survey responses and identified areas for QI.
Main Results:
- Direct observation revealed discrepancies between reported and actual practices.
- Significant variation existed in prompting for immunisations during sick visits.
- Inconsistent record-keeping practices complicated accurate assessment of immunisation status.
Conclusions:
- Understanding actual practice is essential for effective QI in immunisation delivery.
- Direct observation and chart review are vital for identifying improvement areas.
- Improving record accuracy and prompting during sick visits can enhance immunisation rates.
Related Concept Videos
01:51Vaccinations
Overview
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:20Sputum Studies II: Culture and Sensitivity
Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
01:21Vaccines
Vaccines are among the most effective tools in preventive medicine, designed to prepare the immune system to recognize and combat infectious agents. By introducing antigens—substances that the immune system identifies as foreign—vaccines stimulate an adaptive immune response that leads to immunological memory. This immunological memory enables the body to mount a faster and more effective response upon future exposures to the actual pathogen.Vaccines can be categorized based on the type of...
01:29Respiratory Syncytial Virus Disease
Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...