评估新冠疫苗接种的免疫信息系统和电子健康记录接口的准确性。
Assessing the Immunization Information System and electronic health record interface accuracy for COVID-19 vaccinations.
作者信息
McGreevy Sheila, Murray Megan, Montero Leny, Gibson Cheryl, Comfort Branden, Barry Michael, Kirmer-Voss Kalee, Coy Allison, Zufer Tahira, Rampon Kathryn H, Woodward Jennifer
机构信息
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, Kansas, USA.
出版信息
JAMIA Open. 2023 Apr 13;6(2):ooad026. doi: 10.1093/jamiaopen/ooad026. eCollection 2023 Jul.
OBJECTIVE
Our objective is to assess the accuracy of the COVID-19 vaccination status within the electronic health record (EHR) for a panel of patients in a primary care practice when manual queries of the state immunization databases are required to access outside immunization records.
MATERIALS AND METHODS
This study evaluated COVID-19 vaccination status of adult primary care patients within a university-based health system EHR by manually querying the Kansas and Missouri Immunization Information Systems.
RESULTS
A manual query of the local Immunization Information Systems for 4114 adult patients with "unknown" vaccination status showed 44% of the patients were previously vaccinated. Attempts to assess the comprehensiveness of the Immunization Information Systems were hampered by incomplete documentation in the chart and poor response to patient outreach.
CONCLUSIONS
When the interface between the patient chart and the local Immunization Information System depends on a manual query for the transfer of data, the COVID-19 vaccination status for a panel of patients is often inaccurate.
目的
我们的目的是，当需要手动查询州免疫数据库以获取外部免疫记录时，评估基层医疗实践中一组患者的电子健康记录（EHR）内新冠病毒疫苗接种状态的准确性。
材料与方法
本研究通过手动查询堪萨斯州和密苏里州免疫信息系统，评估了大学健康系统EHR内成年基层医疗患者的新冠病毒疫苗接种状态。
结果
对4114名疫苗接种状态为“未知”的成年患者进行当地免疫信息系统的手动查询显示，44%的患者之前已接种疫苗。图表记录不完整以及患者外展工作反应不佳妨碍了对免疫信息系统全面性的评估。
结论
当患者病历与当地免疫信息系统之间的接口依赖于手动查询来传输数据时，一组患者的新冠病毒疫苗接种状态往往不准确。
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