Improving pediatric influenza vaccination through a quality improvement initiative in the ED
Ashley Servi, DNP, RN, PCNS, CPN; Abigail Kleinschmidt, DNP, BSN, RN, CPN
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Servi, Ashley by View
Popular Works for Servi, Ashley by Download
Session F presented Tuesday, October 1, 11:30 am-12:30 pm
Purpose: Influenza affects over ten million children in the United States annually and results in significant morbidity, socioeconomic burden on families, and substantial impact on healthcare services. Universal administration of the seasonal influenza vaccine is the best strategy for preventing illness and death and is recommended for all children ages six months and up, during well and sick visits, who do not have contraindications. Emergency departments offer a unique opportunity to vaccinate children that may not present otherwise for routine preventative care. Last flu season, the Emergency Department administered 56 flu vaccines. The purpose of the project was to develop an efficient, nurse-driven workflow to screen, educate, and safely administer influenza vaccines in order to increase the influenza vaccination rate in eligible children discharged from the ED.
Design: This project is an innovative quality improvement effort aimed to increase the influenza vaccination rate in eligible ED patients.
Setting: The setting of the project is pediatric emergency department/level 1 trauma center that serves over 70,000 children annually in a large metropolitan community.
Participants/Subjects: All patients who present to the ED during influenza season are screened for influenza vaccination status and evaluated for eligibility for receipt of the vaccine during their ED visit.>
Methods: A multidisciplinary workgroup performed process mapping to identify potential barriers and solutions. The electronic health record was engineered to facilitate our key interventions: a required influenza vaccination screening question, scripted patient education with supporting hand-outs, and an influenza vaccine nursing protocol with a clinical decision support tool that allowed for one-step vaccine ordering. Interventions were tested using plan-do-study-act cycles. Process measures included percent screened and percent requested. Primary outcomes were the influenza vaccination rate in unvaccinated patients requesting the vaccine. The balancing measure was ED length of stay.
Results/Outcomes: From September to December 2018, 18,829 patients presented to the ED. Influenza vaccination screening improved from 0 to 89% and 60% of children were found to be unvaccinated. 18% requested influenza vaccines and of those, vaccination rates improved from 0 to 76%. 811 vaccines were administered; a 14-fold increase over last year. Additionally, there was no change in ED length of stay.
Implications: An efficient, nurse-driven workflow that screened for vaccination status, educated parents, and then provided the influenza vaccination to children during the ED visit significantly increased the proportion of children vaccinated without extending length of stay. The combination of innovative thinking and collaborative partnerships were central to the accomplishment of the project. This is a low-cost nursing-based initiative that enhances patient outcomes and promotes optimal health and wellness of our pediatric patients and their families.
|Keywords||Pediatric Emergency Nursing;
|Name||Emergency Nursing 2019|
|Host||Emergency Nurses Association|
|Location||Austin, Texas, USA|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Introducing a Pediatric Respiratory Assessment Tool in a Pediatric ED Bontrager, Teresa; Brooker, Mary (2017-12-05)Poster presentationSession C presented Thursday, September 14, 2017Purpose: The pediatric asthma patient presenting to the Emergency Room requires prompt and reliable assessment leading to timely treatment. Our current ...
Reducing pokes in pediatrics through nurse-driven interventions Servi, Ashley; Bequest-Roeder, Ashley; Bradley, Lia C.Poster presentationSession I presented Wednesday, October 2, 10:00-11:00 amPurpose: Nurses start 700-900 peripheral intravenous catheters (PIVs) every month in the ED. The challenges of dehydration, critical illness and/or ...
Text message quality improvement intervention improves influenza vaccination rate among pediatric patients with asthma Sloand, Elizabeth; MacQueen, Augusta; Polk, Sarah; Holm, Annie (2017-07-06)Background: The Centers for Disease Control (CDC) and the World Health Organization (WHO) recognize that children with asthma are at an increased risk of severe complications due to influenza infection. The CDC highly ...
Initiation of a HIV screening protocol and pathway in the emergency department: A quality improvement initiative Davis, Kristina Anne (11/9/2017)There is currently a nationwide campaign to address human immunodeficiency virus (HIV) prevention and treatment. The emergency department (ED) is a significant venue in the HIV prevention and treatment campaign. The quality ...
Influencing frontline nurses through an academic-practice partnership to drive a PCU quality improvement initiative Lewis, Chrystal L.; Mestas, Lisa G.; Doll, Elizabeth L.; Crook-Kennell, Kortni; Maynard, Victoria M.; Johnson, Rosanna R. (2017-09-25)This session will demonstrate the benefits of an academic practice partnership in mentoring and enabling front line staff to innovate improvements in patient care. This session will review a nursing-created re-evaluation ...