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Lessons learned from implementation of an electronic decision support tool for hospital-administered pneumococcal
Sanchi Malhotra1, Rachel Martin-Blais2,3, Ross Pineda4
1Division of Infectious Diseases, Department of Pediatrics, University of California, Los Angeles, CA, USA.
Antimicrobial Stewardship & Healthcare Epidemiology : ASHE
|September 11, 2024
Summary
Standing orders for hospital vaccines can improve adult immunization rates. However, a new assessment tool showed increased vaccine uptake but less than half of patients received the correct pneumococcal vaccine.
Area of Science:
- Medicine
- Public Health
- Epidemiology
Background:
- Adult immunization rates remain suboptimal, particularly for vaccines recommended in healthcare settings.
- Hospitalization presents a critical opportunity to administer vaccines to under-immunized adults.
- Standing orders are a recommended strategy to increase vaccine administration in hospitals.
Purpose of the Study:
- To evaluate the effectiveness of an admission assessment tool for offering pneumococcal vaccine to eligible hospitalized patients.
- To assess the impact of the tool on adult immunization rates within a hospital setting.
Main Methods:
- Implementation of a novel admission assessment tool designed to identify and offer pneumococcal vaccination.
- Retrospective review of vaccine administration records for guideline concordance.
- Analysis of immunization rates before and after tool implementation.
Main Results:
- The implementation of the admission assessment tool led to an increase in overall pneumococcal vaccine administration rates.
- Despite the increase, less than 50% of eligible patients received the appropriate pneumococcal vaccine according to established guidelines.
- The study identified a gap in guideline concordance even with the intervention.
Conclusions:
- While the admission assessment tool improved vaccine accessibility, it did not fully ensure guideline-concordant vaccination.
- Further refinements are needed to optimize standing order protocols and improve the accuracy of vaccine selection in hospitalized patients.
- Strategies to enhance adherence to vaccine guidelines are crucial for maximizing the impact of hospital-based immunization programs.
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