Swift Melanie D, Aliyu Muktar H, Byrne Daniel W, Qian Keqin, McGown Paula, Kinman Patricia O, Hanson Katherine Louise, Culpepper Demoyne, Cooley Tamara J, Yarbrough Mary I
Melanie D. Swift, Katherine Louise Hanson, and Mary I. Yarbrough are with Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN. Muktar H. Aliyu is with the Department of Health Policy, Vanderbilt University School of Medicine. Daniel W. Byrne is with the Department of Biostatistics, Vanderbilt University School of Medicine. Keqin Qian, and Patricia O. Kinman are with the Occupational Health Clinic, VUMC. Paula McGown, Demoyne Culpepper are with Faculty/Staff Health and Wellness, VUMC. Tamara J. Cooley is with Environmental Health and Safety, VUMC.
Am J Public Health. 2017 Sep;107(S2):S168-S176. doi: 10.2105/AJPH.2017.303953.
To explore whether an emergency preparedness structure is a feasible, efficient, and sustainable way for health care organizations to manage mass vaccination events.
We used the Hospital Incident Command System to conduct a 1-day annual mass influenza vaccination event at Vanderbilt University Medical Center over 5 successive years (2011-2015). Using continuous quality improvement principles, we assessed whether changes in layout, supply management, staffing, and documentation systems improved efficiency.
A total of 66 591 influenza vaccines were administered at 5 annual Flulapalooza events; 13 318 vaccines per event on average. Changes to the physical layout, staffing mix, and documentation processes improved vaccination efficiency 74%, from approximately 38 to 67 vaccines per hour per vaccinator, while reducing overall staffing needs by 38%. An unexpected finding was the role of social media in facilitating active engagement.
Health care organizations can use a closed point-of-dispensing model and Hospital Incident Command System to conduct mass vaccination events, and can adopt the "Flulapalooza method" as a best practice model to enhance efficiency.
探讨应急准备架构对于医疗机构管理大规模疫苗接种活动而言是否是一种可行、高效且可持续的方式。
我们利用医院突发事件指挥系统，在范德堡大学医学中心连续5年（2011 - 2015年）开展了为期1天的年度大规模流感疫苗接种活动。运用持续质量改进原则，我们评估了布局、供应管理、人员配备及文档系统的变化是否提高了效率。
在5次年度流感狂欢活动中，共接种了66591剂流感疫苗；平均每次活动接种13318剂。对物理布局、人员配备组合及文档流程的改变使疫苗接种效率提高了74%，从每名接种人员每小时约接种38剂提高到67剂，同时总体人员需求减少了38%。一个意外发现是社交媒体在促进积极参与方面所起的作用。
医疗机构可采用封闭式发放点模式和医院突发事件指挥系统来开展大规模疫苗接种活动，并可采用“流感狂欢方法”作为最佳实践模式来提高效率。
