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Increased Use of Pneumococcal Vaccination in a Medicine ClinicFollowing Initiation of a Quality Assessment Monitor

Published online by Cambridge University Press:  21 June 2016

Joanne K. Tobacman
Joanne K. Tobacman*
Affiliation:
Department of Internal Medicine, the College of Medicine, The University of Iowa, Iowa City, Iowa
*
Department of Internal Medicine, C312 GH, The University of Iowa Hospitals and Clinics, Iowa City, IA 52242
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Abstract

Obectives:

To determine the use of pneumococcal vaccination in a general medicine ambulatory clinic and the effect of a quality assessment monitor on use.

Design:

A prospective 8-month (October 1990 through May 1991) survey and 8-month (October 1989 through May 1990) retrospective survey of use of pneumococcal vaccination in the clinic.

Setting:

A general medicine clinic where patients are seen for their first internal medicine clinic visit at The University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Patients:

One thousand sixty adult patients who presented to the clinic during the study interval.

Interventions:

The use of the form constituted an intervention.

Results:

Use of pneumococcal vaccination was increased more than 5 times over the baseline level following implementation of the quality assessment monitor.

Conclusions:

Underuse of pneumococcal vaccination occurred in this general medicine clinic, and the introduction of a quality assessment monitor constituted an intervention that significantly increased the use of pneumococcal vaccination.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 13 , Issue 3 , March 1992 , pp. 144 - 146
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992 

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References

1. Recommendations of the Immunization Practices Advisory Committee. MMWR. 1989;38:64–76.Google Scholar
2. LaForce, FM. Adult immunizations: are they worth the trouble?] Gen Intern Med. 1990;5 (suppl) :S57–S61.CrossRefGoogle ScholarPubMed
3. Shapiro, ED, et al. The protective efficacy of polyvalent pneumococcal polysaccharide vaccine. N Engl J Med. 1991;325:1453–1460.CrossRefGoogle ScholarPubMed
4. Simberkoff, MS, Cross, AO, Al-Ibrahim, M, et al. Efficacy of pneumococcal vaccine in high-risk patients: results of a Veterans Administration cooperative study. N Engl J Med. 1986;315:1318–1327.10.1056/NEJM198611203152104CrossRefGoogle ScholarPubMed
5. Shapiro, ED. Pneumococcal vaccine failure. N Engl J Med. 1987;316:1272–1273.Google Scholar
6. Gaillat, J, Zmirou, D, Mallaret, MR, et al. Essai clinique du vaccin antipneumococcique chez des personnes agees vivant en institution. Rev Epidemiol Sante Publique. 1985;33:437–444.Google Scholar
7. Williams, WW, Hickson, MA, Kane, MA, Kendal, AP, Spika, JS, Hinman, AR. Immunization policies and vaccine coverage among adults. Ann Intern Med. 1988;108:616–625.10.7326/0003-4819-108-4-616CrossRefGoogle Scholar