Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-12-02T19:48:14.118Z Has data issue: false hasContentIssue false
  • English
  • Français

Development of a Flexible, Computerized Database to Prioritize, Record, and Report Influenza Vaccination Rates for Healthcare Personnel

Published online by Cambridge University Press:  02 January 2015

Michael Melia ,
Sarah O'Neill ,
Sherry Calderon ,
Sandra Hewitt ,
Kelly Orlando ,
Karen Bithell-Taylor ,
Dieter Affeln ,
Carolyn Conti  and
Sharon B. Wright
Michael Melia*
Affiliation:
Johns Hopkins University School of Medicine, Baltimore, Maryland
Sarah O'Neill
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Sherry Calderon
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Sandra Hewitt
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Kelly Orlando
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Karen Bithell-Taylor
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Dieter Affeln
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Carolyn Conti
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
Sharon B. Wright
Affiliation:
Beth Israel Deaconess Medical Center, Boston, and, Beth Israel Deaconess Hospital–Needham, Needham, Massachusetts
*
1830 E. Monument St., Room 448, Baltimore, MD 21205 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective.

To describe the method used to develop a flexible, computerized database for recording and reporting rates of influenza vaccination among healthcare personnel who were classified by their individual levels (hereafter, “tiers”) of direct patient contact.

Design.

Three-year descriptive summary.

Setting.

Large, academic, tertiary care medical center in the United States.

Participants.

All of the medical center's healthcare personnel.

Methods.

The need to develop a computer-based system to record direct patient care tiers and vaccination data for healthcare personnel was identified. A plan that was to be implemented in stages over several seasons was developed.

Results.

Direct patient care tiers were defined by consensus opinion on the basis of the extent, frequency, and intensity of direct contact with patients. The definitions of these tiers evolved over 3 seasons. Direct patient care classifications were assigned and recorded in a computerized database, and data regarding the receipt of vaccination were tracked by using the same database. Data were extracted to generate reports of individual, departmental, and institutional vaccination rates, both overall and according to direct patient care tiers.

Conclusions.

Development of a computerized database to record direct patient care tiers for individual healthcare workers is a daunting but manageable task. Widespread use of these direct patient care definitions will facilitate uniform comparisons of vaccination rates between institutions. This computerized database can easily be used by infection control personnel to accomplish several other key tasks, including vaccination triage in the context of shortage or delay, prioritization of personnel to receive interventions in times of crisis, and monitoring the status of other employee health or occupational health measures.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 4 , April 2009 , pp. 361 - 369
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Hayward, AC, Harling, R, Wetten, S, et al.Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial. BMJ 2006;333:1241–1246.Google Scholar
2.Carman, WF, Elder, AG, Wallace, LA, et al.Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet 2000;355:93–97.Google Scholar
3.Potter, J, Stott, DJ, Roberts, MA, et al.Influenza vaccination of health care workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis 1997;175:1–6.Google Scholar
4.Salgado, CD, Giannetta, ET, Hayden, FG, Farr, BM. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol 2004;25:923–928.Google Scholar
5.Wilde, JA, McMillan, JA, Serwint, J, Butta, J, O'Riordan, MA, Steinhoff, MC. Effectiveness of influenza vaccine in health care professionals: a randomized trial. JAMA 1999;281:908–913.Google Scholar
6.Saxén, H, Virtanen, M. Randomized, placebo-controlled double blind study on the efficacy of influenza immunization on absenteeism of health care workers. Pediatr Infect Dis J 1999;18:779–83.Google Scholar
7.Lester, RT, McGeer, A, Tomlinson, G, Detsky, AS. Use of effectiveness of, and attitudes regarding influenza vaccine among house staff. Infect Control Hosp Epidemiol 2003;24:839–844.Google Scholar
8.Pearson, ML, Bridges, CB, Harper, SA; Healthcare Infection Control Practices Advisory Committee (HICPAC); Advisory Committee on Immunization Practices (ACIP). Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-2):1–16.Google ScholarPubMed
9.Fiore, AE, Shay, DK, Haber, P, et al.Advisory Committee on Immunization Practices (ACIP), Centers for Disease Control and Prevention (CDC). Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2007. MMWR Recomm Rep 2007;56(RR-6):1–54.Google Scholar
10.Talbot, TR, Bradley, SF, Cosgrove, SE, Ruef, C, Siegel, JD, Weber, DJ. Influenza vaccination of healthcare workers and vaccine allocation for healthcare workers during vaccine shortages. Infect Control Hosp Epidemiol 2005;26:882–890.Google Scholar
11.Dash, GP, Fauerbach, L, Pfeiffer, J, et al.APIC position paper: improving health care worker influenza immunization rates. Am J Infect Control 2004;32:123–125.Google Scholar
12. Infectious Diseases Society of America. Pandemic and seasonal influenza principles for US action: January 2007. Available at: https://www.idsociety.org/WorkArea/showcontent.aspx?id=5728. Accessed June 3, 2008.Google Scholar
13. The Joint Commission. Statement on surveillance, prevention, and control of infection. Available at: http://www.jointcommission.org/NR/rdonlyres/B23DD6CB-E7A7-4D24-9BD9-18D385D46BF3/0/LTC2008ICChapter.pdf. Accessed June 17, 2008.Google Scholar
14.Prevention and control of healthcare-associated infections in Massachusetts, part 1. Final recommendations of the Expert Panel: reporting of influenza vaccination rates of health care personnel. Boston, MA: JSI Research and Training Institute, 2008: 126–128. Available at: http://www.mass.gov/Eeohhs2/docs/dph/patient_safety/haipcp_final_report_ptl.pdf. Accessed 24 February 2008.Google Scholar
15.Sartor, C, Tissot-Dupont, H, Zandotti, C, Martin, F, Roques, P, Drancourt, M. Use of a mobile cart influenza program for vaccination of hospital employees. Infect Control Hosp Epidemiol 2004;25:918–922.Google Scholar
16.Gazmararian, JA, Coleman, M, Prill, M, et al.Influenza vaccination of health care workers: policies and practices of hospitals in a community setting. Am J Infect Control 2007;35:441–7.Google Scholar
17.Tapiainen, T, Bar, G, Schaad, UB, Heininger, U. Influenza vaccination among healthcare workers in a university children's hospital. Infect Control Hosp Epidemiol 2005;26:855–858.Google Scholar
18.Doebbeling, BN, Edmond, MB, Davis, CS, Woodin, JR, Zeitler, RR. Influenza vaccination of health care workers: evaluation of factors that are important in acceptance. Prev Med 1997;26:68–77.Google Scholar
19.Nichol, KL, Hauge, M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 1997;18:189–194.Google Scholar
20.Ofstead, CL, Tucker, SJ, Beebe, TJ, Poland, GA. Influenza vaccination among registered nurses: information receipt, knowledge, and decision-making at an institution with a multifaceted educational program. Infect Control Hosp Epidemiol 2008;29:99–106.Google Scholar
21.LaVela, SL, Smith, B, Weaver, FM, Legro, MW, Goldstein, B, Nichol, K. Attitudes and practices regarding influenza vaccination among healthcare workers providing services to individuals with spinal cord injuries and disorders. Infect Control Hosp Epidemiol 2004;25:933–940.Google Scholar
22.Qureshi, AM, Hughes, NJM, Murphy, E, Primrose, WR. Factors influencing uptake of influenza vaccination among hospital-based health care workers. Occup Med (Lond) 2004;54:197–201.Google Scholar
23.Kimura, AC, Nguyen, CN, Higa, JI, Hurwitz, EL, Vugia, DJ. The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities. Am J Public Health 2007;97:684–690.Google Scholar
24.Chan-Tompkins, NH, Sahud, A, Pucci, D, Herbert, C. Employee thoughts on influenza vaccine: here we go again. Infect Control Hosp Epidemiol 2008;29:186–187.Google Scholar
25.Heimberger, T, Chang, HG, Shaikh, M, Crotty, L, Morse, D, Birkhead, G. Knowledge and attitudes of healthcare workers about influenza: why are they not getting vaccinated? Infect Control Hosp Epidemiol 1995;16:412–414.Google Scholar
26.Bryant, KA, Stover, B, Cain, L, Levine, GL, Siegel, J, Jarvis, WR. Improving influenza immunization rates among healthcare workers caring for high-risk pediatric patients. Infect Control Hosp Epidemiol 2004;25:912–917.Google Scholar
27.Christini, AB, Shutt, KA, Byers, KE. Influenza vaccination rates and motivators among healthcare workers and groups. Infect Control Hosp Epidemiol 2007;28:171–177.Google Scholar
28.Martinello, RA, Jones, L, Topal, JE. Correlation between healthcare workers' knowledge of influenza vaccine and vaccine receipt. Infect Control Hosp Epidemiol 2003;24:845–847.Google Scholar
29.Smedley, J, Palmer, C, Baird, J, Barker, M. A survey of the delivery and uptake of influenza vaccine among health care workers. Occup Med (Lond) 2002;52:271–276.Google Scholar
30.Kuntz, JL, Holley, S, Helms, CM, et al.Use of a pandemic preparedness drill to increase rates of influenza vaccination among healthcare workers. Infect Control Hosp Epidemiol 2008;29:111–115.Google Scholar
31.Shah, SI, Caprio, M. Availability of trivalent inactivated influenza vaccine to parents of neonatal intensive care unit patients and its effect on the healthcare worker vaccination rate. Infect Control Hosp Epidemiol 2008;29:309–313.Google Scholar
32.Ribner, BS, Hall, C, Steinberg, JP, et al.Use of a mandatory declination form in a program for influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 2008;29:302–308.Google Scholar
33.Borlaug, G, Newman, A, Pfister, J, Davis, JP. Factors that influenced rates of influenza vaccination among employees of Wisconsin acute care hospital and nursing homes during the 2005-2006 influenza season. Infect Control Hosp Epidemiol 2007;28:1398–1400.Google Scholar
34.Begue, RE, Gee, SQ. Improving influenza immunization among healthcare workers. Infect Control Hosp Epidemiol 1998;19:518–520.Google Scholar
35.Bertin, M, Scarpelli, M, Proctor, AW, et al.Novel use of the intranet to document health care personnel participation in a mandatory influenza vaccination reporting program. Am J Infect Control 2007;35:33–37.Google Scholar
36.Russell, ML, Henderson, EA. The measurement of influenza vaccine coverage among health care workers. Am J Infect Control 2003;31:457–461.Google Scholar
37.Russell, ML, Thurston, WE, Henderson, EA. Theory and models for planning and evaluating institutional influenza prevention and control programs. Am J Infect Control 2003;31:336–341.Google Scholar
38.Hallauer, JF, Neuschaefer-Rube, N. Influenza vaccination of hospital staff in Germany: a five-year survey on vaccination coverage and policies: identified deficits in influenza immunisation campaigns for hospital employees. Soz Praventivmed 2005;50:38–44.Google Scholar