University of Louisville School of Medicine, Division of Infectious Diseases, Louisville, KY.
University of Louisville School of Public Health and Information Sciences, Department of Health Promotion and Behavioral Sciences, Louisville, KY.
Am J Infect Control. 2014 Jan;42(1):66-8. doi: 10.1016/j.ajic.2013.06.019. Epub 2013 Oct 29.
Recent studies have identified concerns with various elements of health care personnel immunization programs, including the handling and management of the vaccine. The purpose of this study was to assess monitoring processes that support evaluation of the care of vaccines in health care settings. An 11-question survey instrument was developed for use in scripted telephone surveys. State health departments in all 50 states in the United States and the District of Columbia were the target audience for the surveys. Data from a total of 47 states were obtained and analyzed. No states reported an existing monitoring process for evaluation of health care personnel immunization programs in their states. Our assessment indicates that vaccine evaluation processes for health care facilities are rare to nonexistent in the United States. Identifying existing practice gaps and resultant opportunities for improvements may be an important safety initiative that protects patients and health care personnel.
最近的研究发现，医护人员免疫计划的各个环节存在问题，包括疫苗的处理和管理。本研究旨在评估支持疫苗在医疗环境中使用的监测过程。为此开发了一个包含 11 个问题的调查工具，用于脚本电话调查。调查的目标是美国所有 50 个州和哥伦比亚特区的州卫生部门。共获得并分析了 47 个州的数据。没有一个州报告说其州内存在评估医护人员免疫计划的现有监测过程。我们的评估表明，美国医疗机构的疫苗评估流程很少或根本不存在。确定现有的实践差距和由此产生的改进机会可能是一项重要的安全举措，可以保护患者和医护人员。
