Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Improving pneumococcal vaccine rates - Nurse protocols versus clinical reminders
Autore:
Rhew, DC; Glassman, PA; Goetz, MB;
Indirizzi:
W Los Angeles Vet Affairs Med Ctr, Dept Med, Los Angeles, CA 90073 USA W Los Angeles Vet Affairs Med Ctr Los Angeles CA USA 90073 , CA 90073 USA
Titolo Testata:
JOURNAL OF GENERAL INTERNAL MEDICINE
fascicolo: 6, volume: 14, anno: 1999,
pagine: 351 - 356
SICI:
0884-8734(199906)14:6<351:IPVR-N>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIALS; PREVENTIVE CARE; METAANALYSIS; IMMUNIZATION; GUIDELINES; INFLUENZA; ADULTS;
Keywords:
pneumococcal vaccine; vaccinations; standing orders; reminders; feedback;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Goetz, MB WAngeles,eles Vet Affairs Med Ctr, Dept Med, 11301 Wilshire Blvd,111F, Los W Los Angeles Vet Affairs Med Ctr 11301 Wilshire Blvd,111F Los Angeles CA USA 90073
Citazione:
D.C. Rhew et al., "Improving pneumococcal vaccine rates - Nurse protocols versus clinical reminders", J GEN INT M, 14(6), 1999, pp. 351-356

Abstract

OBJECTIVE: To compare the effectiveness of three interventions designed toimprove the pneumococcal vaccination rate. DESIGN: A prospective controlled trial. SETTING: Department of Veterans Affairs ambulatory care clinic. PATIENTS/PARTICIPANTS: There were 3,502 outpatients with scheduled visits divided into three clinic teams (A, B, or C). INTERVENTIONS: During a la-week period, each clinic team received one intervention: (A) nurse standing orders with comparative feedback as well as patient and clinician reminders; (B) nurse standing orders with compliance reminders as well as patient and clinician reminders; and (C) patient and clinician reminders alone. Team A nurses (comparative feedback group) receivedinformation on their vaccine rates relative to those of team B nurses. Team B nurses (compliance reminders group) received reminders to vaccinate butno information on vaccine rates. MEASUREMENTS AND MAIN RESULTS: Team A nurses assessed more patients than team B nurses (39% vs 34%, p = .009). However, vaccination rates per total patient population were similar (22% vs 25%, p = .09). The vaccination ratesfor both team A and team B were significantly higher than the 5% vaccination rate for team C (p < .001). CONCLUSIONS: Nurse-initiated vaccine protocols raised vaccination rates substantially more than a physician and patient reminder system. The nurse-initiated protocol with comparative feedback modestly improved the assessmentrate compared with the protocol with compliance reminders, but overall vaccination rates were similar.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 10:18:59