Effect of a Best-Practice Alert on the Rate of Influenza Vaccination of Pregnant Women

Abstract

II.

Association of a Best-Practice Alert and Prenatal Administration With Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccination Rates

“…19 The use of the electronic medical record has been shown to be associated with increased influenza vaccination rates in several high-risk groups. [20][21][22] Klatt and Hopp recently examined the association of a best-practice alert implementation and pregnant women's acceptance of the influenza vaccine. They noted a significant increase in influenza immunization rates, from 42% to 61% after the best-practice alert was instituted.…”

Rates and determinants of seasonal influenza vaccination in pregnancy and association with neonatal outcomes

“…Despite strong evidence showing the importance of recommendations by care providers, less than half of pregnant women in 2 recent US studies reported receiving this advice. 22,23 Studies evaluating the efficacy of provider-focused reminders to offer vaccination to pregnant patients have been successful at significantly increasing vaccination rates, 25,26 which suggests that this is a promising strategy. In contrast, a randomized study involving patient reminders sent via text messaging failed to im prove vaccination rates.…”

Improving rates of maternal immunization: Challenges and opportunities

“…Benefits were also demonstrated in a study of "best practice alerts" in charts that also use a pre-and post-intervention analysis. 75 A computer decision support algorithm that aided in identifying women needing immunization was found to be an effective intervention in a hospital-based clinic, 76 and opt-in and standing orders for vaccination have also been shown to be effective. 77 Patient 78,79 and physician education 74,78 have also been shown to increase vaccine uptake rates, although several of the previously cited chart alert interventions were implemented after failure of physician education programs.…”

“…77 Patient 78,79 and physician education 74,78 have also been shown to increase vaccine uptake rates, although several of the previously cited chart alert interventions were implemented after failure of physician education programs. 75,76 A "teach back" method of providing health information was assessed in Jamaica, and its success was associated with health literacy which was closely correlated with overall literacy. 80 Studies of text messaging reminders have had mixed results.…”