Use of Clinical Decision Support to Increase Influenza Vaccination: Multi-year Evolution of the System

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This article studies the use of CDS to increase flu vaccinations. [1]

Background

This study talks about how CDS improved compliance with influenza vaccinations over 3 seasons during implementation of an EMR.

Methods

Stroger Hospital implemented Cerner and studied how CDS improved influenza vaccination. During Year 1, CPOE was not yet available for medications so orders were on paper. They used a preselected order set to order the flu vaccine. In Year 2, nurses used an electronic kardex to view their task list. In Year 3, medication CPOE was active and medications were routed to an eMAR.

Results

Over the 3 seasons, as CDS functionality improved, there was also a significant increase in patient flu vaccination. Year 1 = 0/36, Year 2 = 8/66, and Year 3 = 286/805.

Conclusion

There are several ways of using CDS. Having it for both the physicians and nurses increase compliance significantly.

Comments

As our technology advances, CDS should be used to help ensure compliance. But at the same time, we should also consider the possibility of alert fatigue.

References

  1. Mary N. Gerard , William E. Trick , Krishna Das , Marjorie Charles-Damte , Gregory A. Murphy , Irene M. Benson. Use of Clinical Decision Support to Increase Influenza Vaccination: Multi-year Evolution of the System. Journal of the American Medical Informatics Association Nov 2008, 15 (6) 776-779. http://jamia.oxfordjournals.org/content/15/6/776