Improving vaccination of pregnant women against seasonal influenza through use of a mandatory field in the obstetric electronic medical record.

Background The aim of the present study was to determine whether using a mandatory data field in an electronic health record would increase compliance with the recommendation to vaccinate pregnant women against influenza. Methods Two cohorts of women who delivered at the Centenary Hospital for Women...

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Publicado en:Journal of Public Health Vol. 43; no. 2; pp. 420 - 425
Autores principales: Orefice, Roberto, Quinlivan, Julie A
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
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      pub: Oxford University Press / USA
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        atl: Improving vaccination of pregnant women against seasonal influenza through use of a mandatory field in the obstetric electronic medical record.
      aug:
        au:
          Orefice, Roberto
          Quinlivan, Julie A
        affil: Department of Obstetrics and Gynaecology , Centenary Hospital for Women and Children, Garran, ACT 2605, Australia
      sug:
        subj:
          Influenza, Seasonal Prevention and Control
          Influenza Vaccine Therapeutic Use
          Electronic Health Records Legislation and Jurisprudence
          Immunization Programs
          Vaccination Coverage
          Quality Improvement
          Prenatal Care
          Human
          Pregnancy
          Female
          Comparative Studies
          Adult
          Audit
          Australian Capital Territory
          Retrospective Design
          Record Review
          Prospective Studies
          Descriptive Statistics
          Chi Square Test
          T-Tests
          Multivariate Analysis
          Maternal Age
          Confidence Intervals
          Adult: 19-44 years
          Female
      ab: Background The aim of the present study was to determine whether using a mandatory data field in an electronic health record would increase compliance with the recommendation to vaccinate pregnant women against influenza. Methods Two cohorts of women who delivered at the Centenary Hospital for Women and Children between 1–31 July 2015 and 1–31 July 2017 were compared for compliance with the national public health recommendation to vaccinate all pregnant women against influenza. The single change between audit periods was programming the electronic health record to include a mandatory field preventing clinicians from closing patient files unless they selected an answer to the question asking whether influenza vaccination had been performed. Data were audited and compliance rates were compared. Results A total of 275 and 299 women delivered in the two audit periods. There were no significant differences in maternal or neonatal characteristics between the two cohorts except for maternal age, which was younger in the second period (33.3 versus 31.5 years; P  = 0.001). Vaccination rates doubled between audit periods (35.0% versus 79.8%, P  < 0.0001). Conclusion Introducing a mandatory data field into an electronic health record system may increase compliance with public health interventions, such as influenza vaccination in pregnant women.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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