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Implementing a Multidisciplinary Approach to Enhance Compliance With Guideline-Recommended Prechemotherapy
Wilfred Delacruz1, Sandra Terrazzino1, Michael Osswald1
1San Antonio Military Medical Center, Fort Sam Houston, TX.
Cancer patients face higher risks of pneumococcal disease. A quality improvement project significantly increased pneumococcal vaccination rates before chemotherapy, improving patient care and outcomes.
Area of Science:
- Oncology
- Immunology
- Public Health
Background:
- Patients with cancer have an elevated risk of invasive pneumococcal disease.
- Current guidelines recommend pneumococcal vaccination for immunocompromised individuals, including cancer patients.
Purpose of the Study:
- To enhance pneumococcal vaccination compliance in cancer patients prior to chemotherapy.
- To implement a quality improvement initiative for vaccination protocols.
Main Methods:
- A quality improvement project was conducted to review and improve vaccination guidelines.
- Physicians were encouraged to prescribe pneumococcal vaccines before chemotherapy.
- A nurse practitioner was tasked with administering vaccines to eligible patients.
Main Results:
- Baseline vaccination rate was 6.4% (7/110) for patients under 65 receiving chemotherapy.
- Post-intervention, vaccination compliance increased by 39% (P < .001).
- Twenty-five of 58 eligible patients (45.5%) were vaccinated through the project.
Conclusions:
- A targeted quality improvement project successfully improved pneumococcal vaccination rates in cancer patients undergoing chemotherapy.
- Centralized screening by a single designated individual proved effective.
- This enhanced vaccination protocol is now standard practice in the clinic.
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