Cotugno Stephanie, Morrow Gina, Cooper Chandra, Cabie Maribeth, Cohn Sara
UPMC Shadyside Hospital, Pittsburgh, PA
Yale-New Haven Hospital, New Haven, CT.
Am J Health Syst Pharm. 2017 Dec 1;74(23 Supplement 4):S90-S94. doi: 10.2146/ajhp160755.
Results of an initiative to improve assessment and documentation of the influenza vaccination status of adult psychiatric inpatients are reported.
A prospective quality-improvement study was conducted at a large, tertiary care academic medical center with the aim of improving compliance with the Influenza Immunization (IMM-2) quality measure, which was added to the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program in 2015 and requires assessment and documentation of influenza vaccination status in specified groups of psychiatric inpatients. The primary objective was to improve the IMM-2 IPFQR compliance rate to 100% during the 2015-16 influenza season from a rate of 55% during the 2014-15 influenza season through pharmacist interventions; secondary objectives included analysis of types of pharmacist interventions, rates of influenza vaccination status assessment and ordering, and rates of vaccine refusal by psychiatric disease state.
With pharmacist interventions, the IMM-2 IPFQR compliance rate was increased to 99% during the 2015-16 influenza season. Of the 1,413 patients included in the study population, 45% ( = 646) were targeted for pharmacist intervention. Influenza vaccine was ordered for 61% of the study population ( = 867 patients), with an overall refusal rate of 74% ( = 642). Differences in refusal rates by psychiatric diagnosis were not significant.
Pharmacist-conducted education of nurses and interventions to ensure completion of influenza vaccine assessments and documentation led to an improved IMM-2 IPFQR compliance rate at the study site.
报告一项旨在改善成年精神科住院患者流感疫苗接种状况评估及记录的倡议结果。
在一家大型三级医疗学术医学中心开展了一项前瞻性质量改进研究，目的是提高对流感免疫（IMM - 2）质量指标的依从性，该指标于2015年被纳入住院精神科设施质量报告（IPFQR）项目，要求对特定组别的精神科住院患者的流感疫苗接种状况进行评估和记录。主要目标是通过药剂师干预，将2015 - 16流感季节的IMM - 2 IPFQR依从率从2014 - 15流感季节的55%提高到100%；次要目标包括分析药剂师干预的类型、流感疫苗接种状况评估和医嘱开具率，以及按精神疾病状态划分的疫苗拒绝率。
通过药剂师干预，2015 - 16流感季节的IMM - 2 IPFQR依从率提高到了99%。在纳入研究人群的1413名患者中，45%（n = 646）被确定为药剂师干预对象。61%的研究人群（n = 867名患者）开具了流感疫苗医嘱，总体拒绝率为74%（n = 642）。不同精神科诊断的拒绝率差异不显著。
药剂师对护士进行的教育以及为确保完成流感疫苗评估和记录而采取的干预措施，使研究地点的IMM - 2 IPFQR依从率得到了提高。
