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Updated: Oct 5, 2025

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Mitigating COVID-19 Vaccine Waste Through a Multidisciplinary Inpatient Vaccination Initiative.

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    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
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    A new process successfully vaccinated 105 inpatients with COVID-19 vaccines, reducing waste and improving equitable vaccine access for Black or African American patients.

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    Area of Science:

    • Healthcare Quality Improvement
    • Infectious Disease Prevention
    • Vaccinology

    Background:

    • COVID-19 vaccine administration presented challenges in preventing dose wastage.
    • Vaccinating hospitalized patients required a structured approach to ensure safety and efficiency.

    Purpose of the Study:

    • To develop and implement a standardized process for vaccinating medically stable inpatients.
    • To mitigate COVID-19 vaccine waste within a tertiary care setting.
    • To enhance equitable vaccine distribution to diverse inpatient populations.

    Main Methods:

    • A multidisciplinary team established criteria to identify medically stable inpatients for vaccination.
    • A secure shared file system facilitated communication between outpatient vaccine clinics and inpatient nursing staff.
    • Inpatient nurses administered available, unadministered vaccine doses to eligible patients.

    Main Results:

    • 105 patients received COVID-19 vaccination during hospitalization between January 8 and April 26, 2021.
    • Vaccination completion rates included 69% receiving a first dose, 27% a second, and 4% both.
    • Forty-two percent of vaccinated inpatients identified as Black or African American, exceeding outpatient vaccination demographics.

    Conclusions:

    • The implemented process effectively reduced vaccine waste.
    • The standardized approach enabled safe, efficient, and equitable vaccination of an inpatient population.
    • This model offers a viable strategy for vaccinating hospitalized individuals during public health emergencies.