The pot calling the kettle black: the extent and type of errors in a computerized immunization registry and by parent report.
The pot calling the kettle black: the extent and type of errors in a computerized immunization registry and by parent report.
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DOI：
10.1186/1471-2431-14-1
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发表时间：
2014-01-04
期刊：
影响因子：
2.4
通讯作者：
Golonka RP
中科院分区：
文献类型：
--
作者：
MacDonald SE;Schopflocher DP;Golonka RP
儿童免疫状况的准确分类对于临床护理、免疫规划管理和评估以及疫苗规划研究至关重要。计算机化免疫登记已被提议作为提供者纸质记录或家长报告的一种有价值的替代方法，但需要更好地了解与其使用相关的挑战。本研究评估了免疫登记处的免疫状态分类的准确性，与父母报告相比，并确定了两种来源中发生的错误的数量和类型。这项研究是一项大型研究的子分析，该研究比较了两年时接种最新疫苗（UTD）的儿童与未接种UTD的儿童的特征。儿童的免疫状况最初是从基于人口的免疫登记处确定的，然后与邮政调查中报告的父母免疫状况报告进行比较。通过审查免疫接种提供者的硬拷贝诊所记录来判定两个来源之间的差异。描述性分析包括计算分类错误的比例和置信区间，以及报告错误的类型和频率。在461名调查对象中，有60人的免疫状况存在差异。大多数错误是由于母报告（n = 44），但登记研究并非没有错误（n = 16）。父母倾向于错误地报告他们的孩子为UTD，而登记处更有可能错误地将儿童归类为非UTD。登记错误的原因包括未能说明水痘病史，由于系列开始时的年龄而需要的剂量数量可变，以及在该地区以外给药的剂量。这些结果证实，家长报告往往是有缺陷的，但也确定，登记册容易错误分类的免疫状态。免疫规划管理人员和研究人员需要采取措施来识别和减少错误分类，以便登记在控制疫苗可预防疾病方面发挥有效作用。
Accurate classification of children’s immunization status is essential for clinical care, administration and evaluation of immunization programs, and vaccine program research. Computerized immunization registries have been proposed as a valuable alternative to provider paper records or parent report, but there is a need to better understand the challenges associated with their use. This study assessed the accuracy of immunization status classification in an immunization registry as compared to parent report and determined the number and type of errors occurring in both sources. This study was a sub-analysis of a larger study which compared the characteristics of children whose immunizations were up to date (UTD) at two years as compared to those not UTD. Children’s immunization status was initially determined from a population-based immunization registry, and then compared to parent report of immunization status, as reported in a postal survey. Discrepancies between the two sources were adjudicated by review of immunization providers’ hard-copy clinic records. Descriptive analyses included calculating proportions and confidence intervals for errors in classification and reporting of the type and frequency of errors. Among the 461 survey respondents, there were 60 discrepancies in immunization status. The majority of errors were due to parent report (n = 44), but the registry was not without fault (n = 16). Parents tended to erroneously report their child as UTD, whereas the registry was more likely to wrongly classify children as not UTD. Reasons for registry errors included failure to account for varicella disease history, variable number of doses required due to age at series initiation, and doses administered out of the region. These results confirm that parent report is often flawed, but also identify that registries are prone to misclassification of immunization status. Immunization program administrators and researchers need to institute measures to identify and reduce misclassification, in order for registries to play an effective role in the control of vaccine-preventable disease.
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影响因子：
1.1
作者：
Linkins, RW;Feikema, SM
通讯作者：
Feikema, SM
影响因子：
5.5
作者：
Boyd, TD;Linkins, RW;Lemke, B
通讯作者：
Lemke, B
DOI：
10.1016/j.ambp.2005.08.006
发表时间：
2006-01-01
期刊：
AMBULATORY PEDIATRICS
影响因子：
--
作者：
Kolasa, MS;Chilkatowsky, AP;Lutz, JP
通讯作者：
Lutz, JP
影响因子：
8
作者：
Stokley, S;Rodewald, LE;Maes, EF
通讯作者：
Maes, EF
影响因子：
5.5
作者：
Irving, Stephanie A.;Donahue, James G.;Belongia, Edward A.
通讯作者：
Belongia, Edward A.