A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant

Malone, Kathryn; Clark, Stephanie; Palmer, Joanne; Lopez, Sonya; Pradhan, Madhura; Furth, Susan L.; Kim, Jason; Fisher, Brian T.; Laskin, Benjamin L.

doi:10.1111/petr.12742

Cited by 15 publications

(15 citation statements)

References 22 publications

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“…The oldest study was published in 2010, and the most recent study was published in 2018. Two of the studies were designed as quasi-experimental interventions,33,34 while three other studies were randomized controlled trials (RCTs) 35–37Table 2General characteristics of included studiesSource, author, year, countryParticipants (age range)Type of studiesSample size (n)InterventionDurationOutcomesResultsEffectConclusionChristina Freier et al, 2010, GermanyAdolescents following transplantation (15–19 years)Randomized controlled trialIGR (26) CGr (24)Educational programme using the OTIS system24 monthsprocess outcome (IRK and IRB)clinical outcome (GFR)Overall IRK improved significantly over time ( p <0.0001) for IGr patients relative to CGr.…”

Section: Resultsmentioning

confidence: 99%

<p>Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review</p>

Ganjali

Khoshrounejad

Habibi

et al. 2019

AHMT

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IntroductionAdolescent and young adult periods are characterized by increased risk-taking, impulsive behavior, and nonadherence issues, which makes it equally challenging for patients and their health care professionals. Health information technology (IT) has the potential to empower patients.ObjectiveDetermine the effects and features of IT-based interventions for self-management of adolescents and young adults in kidney transplant recipients.Materials and MethodsA comprehensive survey was done on Medline and Scopus in September 2018. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental studies focused on automated IT-based interventions. Studies contained information about adolescent and young adult kidney transplant recipients aged under 25, all published in English. The articles were combined with each other based on the classification of outcomes, the type of interventions, and their impact. The studies were categorized based on the impact of interventions as positive and statistically significant, with no effect, or a combined effect (both positive significance and without effect).ResultsIn this review, of a total of 2,242 retrieved articles, collected from Scopus and PubMed databases, 5 studies met the full-text inclusion criteria. Interventions were performed using computerized systems (3 studies), smartphone application/personal digital ass (PDA) (1 study), and multiple components (1 study). These studies evaluated 15 outcomes, including 7 care process and 8 clinical outcomes. In 6 of 15 outcomes (40%), interventions had a statistically significant positive effect.ConclusionIT-based interventions such as mobile health/personal digital assistant(PDA), computer systems and multi-component have the potential to improve self-management in adolescents and young adult kidney transplant recipients (care process outcomes). It is recommended to conduct complementary research to examine the effect of IT-based self-management interventions on clinical outcomes in kidney transplant recipients.

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Section: Resultsmentioning

confidence: 99%

<p>Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review</p>

Ganjali

Khoshrounejad

Habibi

et al. 2019

AHMT

View full text Add to dashboard Cite

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“…34,35 Others focused on immunization coverage. [36][37][38][39][40] The electronic databases search yielded nine publications. Manual search of the reference list of eligible publication yielded an additional two publications.…”

Section: Resultsmentioning

confidence: 99%

Application of quality improvement approaches in health-care settings to reduce missed opportunities for childhood vaccination: a scoping review

Adamu

Uthman

Wambiya

et al. 2019

Human Vaccines & Immunotherapeutics

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Missed opportunities for vaccination (MOV) is a poor reflection of the quality of care for children attending health facilities. It also contributes to a reduction in overall immunization coverage. Although there is a growing interest in the use of quality improvement (QI) in complex health systems to improve health outcomes, the degree to which this approach has been used to address MOV is poorly understood. We conducted a scoping review using Arksey and O'Malley's framework to investigate the extent to which QI has been used in health facilities to reduce MOV. The review followed five stages as follows: (1) identifying the research question; (2) identifying the relevant studies; (3) selecting the studies; (4) charting data; and (5) collating, summarizing, and reporting results. The search strategy included electronic databases and gray literature. A total of 12 literatures on QI projects focused on addressing MOV were identified. Eleven were published manuscripts, and one was a conference presentation. All the QI projects published were conducted in the United States and majority were between 2014 and 2018. In these projects, 45 change ideas targeting providers, clients, and health system were used. This study generated important evidence on the use of QI in health facilities to reduce MOV. In addition, the result suggests that there is a growing interest in the use of this approach to address MOV in recent years. However, no literature was found in low-and middle-income countries especially sub-Saharan Africa.

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“…For example, QI models have leveraged process changes to prompt compliance such as using point-of-care prompts and algorithms, or teaching QI principles to caregivers for application to local workflows where improvements are needed. [22][23][24][25][26] For example, Gilkey et al showed that education with assessment and feedback in a localized QI intervention for HPV vaccination improved vaccination rates, while also emphasizing the need for further implementation research. 26 Building on that observation, the current study demonstrates that longitudinal community-based QI interventions paired with CME can be associated with enhanced vaccination rates.…”

Section: Discussionmentioning

confidence: 99%

The impact of a quality improvement continuing medical education intervention on physicians’ vaccination practice: a controlled study

Kawczak

Mooney

Mitchner³

et al. 2020

Human Vaccines & Immunotherapeutics

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This study investigated the impact of a longitudinal quality improvement continuing medical education (CME) intervention on influenza and pneumococcal vaccination rates for patient populations at high-risk or aged ≥ 65. An observational cohort design with a propensity score to adjust for vaccine eligibility between the intervention and control cohorts was utilized to assess the impact of the intervention among primary care physicians. The intervention was a three-stage quality improvement initiative with CME learning activities. Stage A was an assessment of practice to establish baseline performance. Stage B was participation in learning interventions and individualized action planning for practice change, and Stage C was practice reassessment. Data were also collected for a control group of clinicians who did not participate during the same period. One hundred primary care physicians completed all 3 intervention stages10/14-7/15. Altogether, 361,528 patient records of vaccine receipt were compared for those physicians who completed the educational intervention and those who did not. The percentage of physicians' adult patients receiving influenza or pneumococcal vaccination increased on all measures. The difference between intervention versus control groups was 3.4% higher for influenza ≥ 65 years, 2.1% for influenza high-risk, 0.6% for pneumococcal ≥ 65 years, and 1.4% for pneumococcal high-risk. These results show that physician participation in a quality improvement CME initiative can be an effective strategy to improve vaccination administration. The findings strengthen the evidence that CME learning interventions can advance quality improvement goals and more favorably affect physicians' practice when educational strategies are utilized.

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A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant

Cited by 15 publications

References 22 publications

<p>Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review</p>

<p>Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review</p>

Application of quality improvement approaches in health-care settings to reduce missed opportunities for childhood vaccination: a scoping review

The impact of a quality improvement continuing medical education intervention on physicians’ vaccination practice: a controlled study

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