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Computerized orders increase administration of influenza, pneumococcal vaccines.
2004 DEC 1 - (NewsRx.com & NewsRx.net) -- Computer-based standing orders are more effective than computerized reminders to physicians in increasing influenza and pneumococcal vaccine administration for hospitalized patients, according to a new study.
Few medical interventions rival influenza and pneumococcal vaccines in their ability to reduce illness and save costs and lives. Yet in the past, among individuals older than 65 years, as many as 34% have not received their annual influenza vaccine and 38% have not received their annual pneumococcal vaccine. Computerized reminder systems increase influenza and pneumococcal vaccination rates, but computerized standing order systems have not been previously evaluated.
Paul R. Dexter, MD, of Wishard Memorial Hospital and Indiana University School of Medicine, Indianapolis, and colleagues compared the effects of computerized standing orders for influenza and pneumococcal vaccines in a randomized trial using the computerized physician reminder system as a control. The trial included 3777 general medicine patients discharged from one of six study wards during a 14-month period (November 1, 1998, through December 31, 1999) composed of two overlapping influenza seasons at an urban public teaching hospital.
The findings were published in the November 17, 2004, Journal of the American Medical Association.
The hospital's computerized physician order entry system identified inpatients eligible for influenza and pneumococcal vaccination. For patients with standing orders, the system automatically produced an order directing a nurse to administer the vaccine at time of discharge. For ...
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