Immunisation, Hepatitis and Blood Safety Department, Health Protection Agency's Centre for Infections, 61 Colindale Avenue, London, United Kingdom.
Vaccine. 2010 Dec 10;29(1):65-9. doi: 10.1016/j.vaccine.2010.10.014. Epub 2010 Oct 30.
Correct storage, handling and administration of vaccines are vital components of a successful immunisation programme. However, with the large number of different healthcare professionals now involved in delivering the vaccine programme on a daily basis, it is inevitable that programmatic errors will occur. Decisions as to how best to rectify these errors can be difficult however, as often they are unprecedented and there may be no hard evidence on which to base their management. These decisions must therefore be based on what is known and any available previous experience. They also often take place in an environment of concern about litigation and liability which puts pressure on health care workers to take a defensive or conservative approach. Management decisions may ultimately also have to be a pragmatic choice based on the individual situation and what is deemed to be the best way to minimise adverse reactions, ensure patients are adequately protected and maintain public confidence in the immunisation programme. Here, we describe our experiences of managing vaccine programmatic errors and some of the many factors that we had to consider.
正确的疫苗储存、处理和管理是成功免疫计划的重要组成部分。然而，随着越来越多的不同医疗保健专业人员每天参与疫苗接种计划，计划错误的发生是不可避免的。然而，如何最好地纠正这些错误的决策可能很困难，因为这些错误往往是前所未有的，并且可能没有确凿的证据来作为管理的依据。因此，这些决策必须基于已知的信息和任何可用的以往经验。它们通常也发生在对诉讼和责任的关注环境中，这给医疗保健工作者带来了采取防御性或保守性方法的压力。管理决策最终也可能是基于个人情况和被认为是最大限度减少不良反应、确保患者得到充分保护并维护公众对免疫计划信心的最佳方式的实际选择。在这里，我们描述了我们管理疫苗计划错误的经验以及我们必须考虑的许多因素。
