FluAlert: A qualitative evaluation of providers' desired characteristics and concerns regarding computerized influenza vaccination alerts
FluAlert: A qualitative evaluation of providers' desired characteristics and concerns regarding computerized influenza vaccination alerts
复制标题
DOI：
10.1016/j.ypmed.2011.01.008
复制
发表时间：
2011-03-01
影响因子：
5.1
通讯作者：
Stockwell, Melissa S.
中科院分区：
文献类型：
--
作者：
Birmingham, Eileen;Catallozzi, Marina;Stockwell, Melissa S.
Objective.探讨儿科提供者对流感疫苗接种的感知障碍，以及与电子健康记录（EHR）整合的流感疫苗警报相关的期望特征和潜在问题。四个焦点小组与供应商（n = 21）和实践的领导者在城市，儿科初级保健网络附属于学术医疗中心在纽约市进行了五个单独的采访。数据是在2009-10流感季节收集的，并使用主题分析进行分析。结果。与会者确定了流感疫苗提供的几个障碍，包括在生病期间记得接种疫苗，需要审查多种免疫接种信息来源，时间短缺和人员配备不足。他们认为，警报可以帮助解决许多这些挑战。他们希望具有以下警报特征：1）在就诊早期提醒提供者，2）通过合并多个免疫接种信息来源准确确定患者的疫苗状态，3）促进疫苗订购，以及4）当疫苗被拒绝或未给予时，在EHR中生成适当的文档。有关警报的潜在问题包括警报的可靠性和准确性、工作流程中断和强制行动。这项研究强调了提供者对一个整合良好、准确的警报的兴趣，这种警报可以简化对疫苗接种资格、订购和记录的评估，而不会妨碍工作流程。(C)2011 Elsevier Inc. All rights reserved.
Objective. To explore pediatric providers' perceived barriers to influenza vaccine delivery, and desired characteristics and potential concerns regarding an influenza vaccine alert integrated into the electronic health record (EHR).Methods. Four focus groups with providers (n = 21) and five individual interviews with practice leaders in an urban, pediatric primary care network affiliated with an academic medical center in New York City were conducted. Data were collected during the 2009-10 influenza season and analyzed using thematic analysis.Results. Participants identified several barriers to influenza vaccine delivery, including remembering to vaccinate during sick visits, need to review multiple sources of immunization information, time shortages and inadequate staffing. They felt that an alert could help many of these challenges. They desired the following alert characteristics: 1) alerting providers early in the visit, 2) accurately determining patients' vaccine status by merging multiple sources of immunization information, 3) facilitating vaccine ordering, and 4) generating appropriate documentation in the EHR when vaccines were refused or otherwise not given. Potential concerns regarding the alert included reliability and accuracy of alert, workflow interruptions and forced actions.Conclusions. This study highlights providers' interest in a well-integrated, accurate alert that streamlines assessment of vaccination eligibility, ordering and documentation without impeding work-flow. (C) 2011 Elsevier Inc. All rights reserved.