Demonstration of the feasibility of emergency department immunization against influenza and pneumococcus.
Society for Academic Emergency Medicine Annual Conference. Washington, DC, USA, 1997/05.
To demonstrate the feasibility of systematic immunization against influenza and pneumococcus in a public emergency department.
This was a demonstration project conducted from October 21,1996, through December 2,1996, at Cook County Hospital, an inner-city hospital with a 1996 adult ED census of 120,449.
Seventy-eight percent of patients are uninsured ; 92% are people of color ; 73% deny having a primary physician.
Only 15% have emergency complaints.
Nurses received standing orders that all nonemergency adult patients meeting Centers for Disease Control and Prevention criteria for high risk should be offered immunization against influenza and pneumococcus at triage.
Cash prizes were offered to nurses appropriately immunizing the most patients.
The date of immunization was entered into the computerized patient registration system, available to all providers within the county system.
From November 4 through November 18, an extra nurse was assigned to triage to test for improvement in immunization rates.
A time-motion study determined the time required per immunization on the basis of a convenience sample of 8 nurses drawn from all 3 shifts.
Only 3% of identified high-risk patients reported previous pneumococcal immunization.
Despite extreme variation in nurse performance, 2,631 patients (24% of patients triaged) were screened, and 716 high-risk patients were identified (27% of patients screened). (...)
Mots-clés Pascal : Immunisation, Vaccination, Grippe, Virose, Infection, Streptococcus pneumoniae, Streptococcaceae, Micrococcales, Bactérie, Service urgence, Programme application, Etats Unis, Amérique du Nord, Amérique, Médecine préventive, Prévention, Programme sanitaire, Adulte, Homme, Bactériose
Mots-clés Pascal anglais : Immunization, Vaccination, Influenza, Viral disease, Infection, Streptococcus pneumoniae, Streptococcaceae, Micrococcales, Bacteria, Emergency department, Application program, United States, North America, America, Preventive medicine, Prevention, Sanitary program, Adult, Human, Bacteriosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0027341
Code Inist : 002B30A03B. Création : 31/05/1999.