Development of a Flexible, Computerized Database to Prioritize, Record, and Report Influenza Vaccination Rates for Healthcare Personnel
Development of a Flexible, Computerized Database to Prioritize, Record, and Report Influenza Vaccination Rates for Healthcare Personnel
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DOI：
10.1086/596043
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发表时间：
2009-04-01
影响因子：
4.5
通讯作者：
Wright, Sharon B.
中科院分区：
文献类型：
--
作者：
Melia, Michael;O'Neill, Sarah;Wright, Sharon B.
客观的。描述用于开发灵活的计算机化数据库的方法，用于记录和报告医护人员的流感疫苗接种率，这些医护人员按直接患者接触的个人级别（以下简称“等级”）进行分类。设计。三年描述性摘要。设置。美国大型学术三级护理医疗中心。参与者。医疗中心的所有医护人员。方法。确定需要开发一个基于计算机的系统来记录直接患者护理级别和医护人员的疫苗接种数据。制定了一个将在几个季节分阶段实施的计划。 结果。直接患者护理等级是根据与患者直接接触的程度、频率和强度的共识意见来定义的。这些级别的定义在三个赛季中不断演变。直接患者护理分类被分配并记录在计算机数据库中，并使用同一数据库跟踪有关疫苗接种情况的数据。提取数据以生成个人、部门和机构疫苗接种率的报告，包括总体疫苗接种率和根据直接患者护理级别的报告。结论。开发计算机化数据库来记录个体医护人员的直接患者护理等级是一项艰巨但易于管理的任务。这些直接患者护理定义的广泛使用将有助于机构之间疫苗接种率的统一比较。感染控制人员可以轻松使用该计算机化数据库来完成其他几项关键任务，包括在疫苗短缺或延迟的情况下进行疫苗接种分类、在危机时期优先安排人员接受干预措施以及监测其他员工健康或职业健康措施的状态。
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.