Bridging the gap: The PDV programme at Tan Tock Seng hospital. Lian, L. P. Annals of the Academy of Medicine Singapore, 40(7 SUPPL. 1):S4, 2011. ![Bridging the gap: The PDV programme at Tan Tock Seng hospital [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper abstract bibtex Substantial gaps exist between accepted recommendations and actual practice. Although evidence indicates clear clinical benefits from vaccinating high-risk patients against influenza and pneumococcus, vaccine uptake in Singapore remains low. Since patients with comorbidities constitute a large proportion of our inpatients, hospitalisation represents a missed opportunity for this simple, effective intervention. Since December 2010, TTSH has piloted an innovative Pre-Discharge Vaccination (PDV) programme, the first in Singapore. This hospital-wide initiative integrates influenza and pneumococcal vaccination into standardised pre-discharge procedure for inpatients with appropriate medical indications. Patients and families may opt-out, if desired. PDV also removes the out-of-pocket expense to patients by utilising Medisave. Pharmacists screen patients for indications and contraindications according to a pre-approved checklist. Treating clinicians may endorse or over-ride PDV orders. Vaccine is administered on the day of discharge by the nurse, and information sheets are given to the patient. Concerns about safety and effectiveness are addressed through FAQs. Over 1056 patients were screened per month, of whom 584 (55%) were eligible for PDV. Two hundred and four of the 324 patients (63%) who were offered PDV, agreed to participate. However, doctor uptake was only 65%-132 of the 204 were prescribed PDV, and 108 received PDV prior to actual discharge-8.5% of those eligible. The main barriers to PDV uptake include awareness of this programme and concern about adverse effects. However, this programme enabled over 100 patients per month to get vaccinated who would not otherwise have received the vaccines. The data collected also allow us to focus further efforts in bridging the gap, and improving care for our most vulnerable patients.
@article{lian_bridging_2011,
title = {Bridging the gap: {The} {PDV} programme at {Tan} {Tock} {Seng} hospital},
volume = {40},
issn = {0304-4602},
url = {http://www.annals.edu.sg/pdf/40VolNo7SupplJul2011/V40N7Suppl.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed12&NEWS=N&AN=71799244},
abstract = {Substantial gaps exist between accepted recommendations and actual practice. Although evidence indicates clear clinical benefits from vaccinating high-risk patients against influenza and pneumococcus, vaccine uptake in Singapore remains low. Since patients with comorbidities constitute a large proportion of our inpatients, hospitalisation represents a missed opportunity for this simple, effective intervention. Since December 2010, TTSH has piloted an innovative Pre-Discharge Vaccination (PDV) programme, the first in Singapore. This hospital-wide initiative integrates influenza and pneumococcal vaccination into standardised pre-discharge procedure for inpatients with appropriate medical indications. Patients and families may opt-out, if desired. PDV also removes the out-of-pocket expense to patients by utilising Medisave. Pharmacists screen patients for indications and contraindications according to a pre-approved checklist. Treating clinicians may endorse or over-ride PDV orders. Vaccine is administered on the day of discharge by the nurse, and information sheets are given to the patient. Concerns about safety and effectiveness are addressed through FAQs. Over 1056 patients were screened per month, of whom 584 (55\%) were eligible for PDV. Two hundred and four of the 324 patients (63\%) who were offered PDV, agreed to participate. However, doctor uptake was only 65\%-132 of the 204 were prescribed PDV, and 108 received PDV prior to actual discharge-8.5\% of those eligible. The main barriers to PDV uptake include awareness of this programme and concern about adverse effects. However, this programme enabled over 100 patients per month to get vaccinated who would not otherwise have received the vaccines. The data collected also allow us to focus further efforts in bridging the gap, and improving care for our most vulnerable patients.},
language = {English},
number = {7 SUPPL. 1},
journal = {Annals of the Academy of Medicine Singapore},
author = {Lian, L. P.},
year = {2011},
keywords = {*Malaysia, *Singapore, *hospital, Pneumococcus vaccine, adverse drug reaction, checklist, high risk patient, hospital patient, human, influenza, nurse, patient, pharmacist, physician, procedures, safety, vaccination, vaccine},
pages = {S4},
}
Downloads: 0
{"_id":"sgNyw2tWsJvPqByA3","bibbaseid":"lian-bridgingthegapthepdvprogrammeattantocksenghospital-2011","authorIDs":[],"author_short":["Lian, L. P."],"bibdata":{"bibtype":"article","type":"article","title":"Bridging the gap: The PDV programme at Tan Tock Seng hospital","volume":"40","issn":"0304-4602","url":"http://www.annals.edu.sg/pdf/40VolNo7SupplJul2011/V40N7Suppl.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed12&NEWS=N&AN=71799244","abstract":"Substantial gaps exist between accepted recommendations and actual practice. Although evidence indicates clear clinical benefits from vaccinating high-risk patients against influenza and pneumococcus, vaccine uptake in Singapore remains low. Since patients with comorbidities constitute a large proportion of our inpatients, hospitalisation represents a missed opportunity for this simple, effective intervention. Since December 2010, TTSH has piloted an innovative Pre-Discharge Vaccination (PDV) programme, the first in Singapore. This hospital-wide initiative integrates influenza and pneumococcal vaccination into standardised pre-discharge procedure for inpatients with appropriate medical indications. Patients and families may opt-out, if desired. PDV also removes the out-of-pocket expense to patients by utilising Medisave. Pharmacists screen patients for indications and contraindications according to a pre-approved checklist. Treating clinicians may endorse or over-ride PDV orders. Vaccine is administered on the day of discharge by the nurse, and information sheets are given to the patient. Concerns about safety and effectiveness are addressed through FAQs. Over 1056 patients were screened per month, of whom 584 (55%) were eligible for PDV. Two hundred and four of the 324 patients (63%) who were offered PDV, agreed to participate. However, doctor uptake was only 65%-132 of the 204 were prescribed PDV, and 108 received PDV prior to actual discharge-8.5% of those eligible. The main barriers to PDV uptake include awareness of this programme and concern about adverse effects. However, this programme enabled over 100 patients per month to get vaccinated who would not otherwise have received the vaccines. The data collected also allow us to focus further efforts in bridging the gap, and improving care for our most vulnerable patients.","language":"English","number":"7 SUPPL. 1","journal":"Annals of the Academy of Medicine Singapore","author":[{"propositions":[],"lastnames":["Lian"],"firstnames":["L.","P."],"suffixes":[]}],"year":"2011","keywords":"*Malaysia, *Singapore, *hospital, Pneumococcus vaccine, adverse drug reaction, checklist, high risk patient, hospital patient, human, influenza, nurse, patient, pharmacist, physician, procedures, safety, vaccination, vaccine","pages":"S4","bibtex":"@article{lian_bridging_2011,\n\ttitle = {Bridging the gap: {The} {PDV} programme at {Tan} {Tock} {Seng} hospital},\n\tvolume = {40},\n\tissn = {0304-4602},\n\turl = {http://www.annals.edu.sg/pdf/40VolNo7SupplJul2011/V40N7Suppl.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed12&NEWS=N&AN=71799244},\n\tabstract = {Substantial gaps exist between accepted recommendations and actual practice. Although evidence indicates clear clinical benefits from vaccinating high-risk patients against influenza and pneumococcus, vaccine uptake in Singapore remains low. Since patients with comorbidities constitute a large proportion of our inpatients, hospitalisation represents a missed opportunity for this simple, effective intervention. Since December 2010, TTSH has piloted an innovative Pre-Discharge Vaccination (PDV) programme, the first in Singapore. This hospital-wide initiative integrates influenza and pneumococcal vaccination into standardised pre-discharge procedure for inpatients with appropriate medical indications. Patients and families may opt-out, if desired. PDV also removes the out-of-pocket expense to patients by utilising Medisave. Pharmacists screen patients for indications and contraindications according to a pre-approved checklist. Treating clinicians may endorse or over-ride PDV orders. Vaccine is administered on the day of discharge by the nurse, and information sheets are given to the patient. Concerns about safety and effectiveness are addressed through FAQs. Over 1056 patients were screened per month, of whom 584 (55\\%) were eligible for PDV. Two hundred and four of the 324 patients (63\\%) who were offered PDV, agreed to participate. However, doctor uptake was only 65\\%-132 of the 204 were prescribed PDV, and 108 received PDV prior to actual discharge-8.5\\% of those eligible. The main barriers to PDV uptake include awareness of this programme and concern about adverse effects. However, this programme enabled over 100 patients per month to get vaccinated who would not otherwise have received the vaccines. The data collected also allow us to focus further efforts in bridging the gap, and improving care for our most vulnerable patients.},\n\tlanguage = {English},\n\tnumber = {7 SUPPL. 1},\n\tjournal = {Annals of the Academy of Medicine Singapore},\n\tauthor = {Lian, L. P.},\n\tyear = {2011},\n\tkeywords = {*Malaysia, *Singapore, *hospital, Pneumococcus vaccine, adverse drug reaction, checklist, high risk patient, hospital patient, human, influenza, nurse, patient, pharmacist, physician, procedures, safety, vaccination, vaccine},\n\tpages = {S4},\n}\n\n","author_short":["Lian, L. P."],"key":"lian_bridging_2011","id":"lian_bridging_2011","bibbaseid":"lian-bridgingthegapthepdvprogrammeattantocksenghospital-2011","role":"author","urls":{"Paper":"http://www.annals.edu.sg/pdf/40VolNo7SupplJul2011/V40N7Suppl.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed12&NEWS=N&AN=71799244"},"keyword":["*Malaysia","*Singapore","*hospital","Pneumococcus vaccine","adverse drug reaction","checklist","high risk patient","hospital patient","human","influenza","nurse","patient","pharmacist","physician","procedures","safety","vaccination","vaccine"],"metadata":{"authorlinks":{}}},"bibtype":"article","biburl":"https://bibbase.org/zotero/vincentwntu","creationDate":"2020-01-26T03:06:33.936Z","downloads":0,"keywords":["*malaysia","*singapore","*hospital","pneumococcus vaccine","adverse drug reaction","checklist","high risk patient","hospital patient","human","influenza","nurse","patient","pharmacist","physician","procedures","safety","vaccination","vaccine"],"search_terms":["bridging","gap","pdv","programme","tan","tock","seng","hospital","lian"],"title":"Bridging the gap: The PDV programme at Tan Tock Seng hospital","year":2011,"dataSources":["icTw8KRRMMANXJHRd"]}