To increase influenza vaccination rate for human immunodeficiency virus patients in specialist outpatient clinic J, tan tock seng hospital. Khong, B. P. C., Ngai, P. S., Banu, I., Wong, K. M., Lauren, R. B., & Razak, A. Annals of the Academy of Medicine Singapore, 39(11 SUPPL. 1):S215, 2010. ![To increase influenza vaccination rate for human immunodeficiency virus patients in specialist outpatient clinic J, tan tock seng hospital [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper abstract bibtex Background/Hypothesis: Annual influenza vaccination is recommended for human immunodeficiency virus (HIV) patients. A Clinical Practice Improvement Project (CPIP) was initiated with the aim of improving vaccination rate from the pre-existing 27.0% to more than 80% of all eligible patients. Method(s): Standard CPIP methodology was used. Potential causes for poor vaccination rates were identified by discussing with patients and healthcare providers. Clinic processes were re-examined, and we quantified the relative contribution of different causes. Interventions were designed, rolled out and changes in vaccination uptake monitored post-implementation. Result(s): Pre-Implementation Findings Fish-bone diagram identified several reasons for missed vaccination opportunities; lack of reminders (20.0%), lack of proper patient education (17.8%), patient defaulting vaccination (17.8%), patients deferring vaccination (13.3%) and lack of tracking systems (8.9%) were highlighted on Pareto analysis as causing more than 80% of the problem. The causes were grouped into 3 major obstacles amenable to intervention: 1) lack of patient awareness on benefits; 2) lack of a tracking system; and 3) short patient-doctor contact time. Interventions We then set up a nurse-led Vaccination Clinic along with a vaccination tracking system to: 1) provide for patient education, 2) promote benefits of vaccination; and 3) conduct eligibility assessment Outcome From June to December 2009, 1561 patients were reviewed for influenza vaccination, of which 1359 were eligible for vaccination. Of these, 1098 (80.8%) received influenza vaccination. This represents a substantial improvement over the estimated preimplementation vaccination rate of 27.0%. Discussion & Conclusion(s): The nurse-initiated CPIP successfully identified causes for poor vaccination rates and substantially improved uptake of annual influenza vaccinations among HIV patients.
@article{khong_increase_2010,
title = {To increase influenza vaccination rate for human immunodeficiency virus patients in specialist outpatient clinic {J}, tan tock seng hospital},
volume = {39},
issn = {0304-4602},
url = {http://www.annals.edu.sg/pdf/39VolNo11SupplNov2010/V39N11(Suppl).pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed11&NEWS=N&AN=71796075},
abstract = {Background/Hypothesis: Annual influenza vaccination is recommended for human immunodeficiency virus (HIV) patients. A Clinical Practice Improvement Project (CPIP) was initiated with the aim of improving vaccination rate from the pre-existing 27.0\% to more than 80\% of all eligible patients. Method(s): Standard CPIP methodology was used. Potential causes for poor vaccination rates were identified by discussing with patients and healthcare providers. Clinic processes were re-examined, and we quantified the relative contribution of different causes. Interventions were designed, rolled out and changes in vaccination uptake monitored post-implementation. Result(s): Pre-Implementation Findings Fish-bone diagram identified several reasons for missed vaccination opportunities; lack of reminders (20.0\%), lack of proper patient education (17.8\%), patient defaulting vaccination (17.8\%), patients deferring vaccination (13.3\%) and lack of tracking systems (8.9\%) were highlighted on Pareto analysis as causing more than 80\% of the problem. The causes were grouped into 3 major obstacles amenable to intervention: 1) lack of patient awareness on benefits; 2) lack of a tracking system; and 3) short patient-doctor contact time. Interventions We then set up a nurse-led Vaccination Clinic along with a vaccination tracking system to: 1) provide for patient education, 2) promote benefits of vaccination; and 3) conduct eligibility assessment Outcome From June to December 2009, 1561 patients were reviewed for influenza vaccination, of which 1359 were eligible for vaccination. Of these, 1098 (80.8\%) received influenza vaccination. This represents a substantial improvement over the estimated preimplementation vaccination rate of 27.0\%. Discussion \& Conclusion(s): The nurse-initiated CPIP successfully identified causes for poor vaccination rates and substantially improved uptake of annual influenza vaccinations among HIV patients.},
language = {English},
number = {11 SUPPL. 1},
journal = {Annals of the Academy of Medicine Singapore},
author = {Khong, B. P. C. and Ngai, P. S. and Banu, I. and Wong, K. M. and Lauren, R. B. and Razak, A.},
year = {2010},
keywords = {*Human immunodeficiency virus, *Singapore, *health, *hospital, *human, *influenza vaccination, *medical specialist, *outpatient department, *patient, bone, cardiac resynchronization therapy device, clinical practice, fish, health care personnel, methodology, nurse, patient education, physician, vaccination},
pages = {S215},
}
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The causes were grouped into 3 major obstacles amenable to intervention: 1) lack of patient awareness on benefits; 2) lack of a tracking system; and 3) short patient-doctor contact time. Interventions We then set up a nurse-led Vaccination Clinic along with a vaccination tracking system to: 1) provide for patient education, 2) promote benefits of vaccination; and 3) conduct eligibility assessment Outcome From June to December 2009, 1561 patients were reviewed for influenza vaccination, of which 1359 were eligible for vaccination. Of these, 1098 (80.8%) received influenza vaccination. This represents a substantial improvement over the estimated preimplementation vaccination rate of 27.0%. 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