Feasibility of integrating a clinical decision support tool into an existing computerized physician order entry system to increase seasonal influenza vaccination in the emergency department

Arvind Venkat, Noreen H. Chan-Tompkins, Gajanan G. Hegde, David M. Chuirazzi, Roger Hunter, Jillian M. Szczesiul

Research output: Contribution to journalArticlepeer-review

Abstract

While emergency department (ED) seasonal influenza vaccination programs are feasible, reported implementation barriers include added staffing requirements to identify eligible patients and getting busy ED personnel to order and provide vaccination. We present a prospective, observational trial of integrating a clinical decision support tool into an existing ED computerized physician order entry (CPOE) system to increase ED seasonal influenza vaccination without added staffing resources, the operational barriers identified to program implementation, the revenue generated and data on opportunities for future quality improvement. Compared to the comparable pre-protocol period, ED influenza vaccination rose by 17.5% with a resultant profit margin of 34.5%. © 2010 Elsevier Ltd.
Original languageEnglish
Pages (from-to)6058-6064
Number of pages7
JournalVaccine
Volume28
Issue number37
DOIs
StatePublished - Aug 23 2010
Externally publishedYes

ASJC Scopus Subject Areas

  • Molecular Medicine
  • General Immunology and Microbiology
  • General Veterinary
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Keywords

  • Computerized physician order entry
  • Emergency department
  • Seasonal influenza vaccination
  • Emergency Service, Hospital
  • Prospective Studies
  • Humans
  • Middle Aged
  • Decision Support Systems, Clinical
  • Male
  • Feasibility Studies
  • Young Adult
  • Influenza Vaccines/administration & dosage
  • Vaccination/statistics & numerical data
  • Adolescent
  • Medical Order Entry Systems
  • Adult
  • Female

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