Improving Vaccination Coverage in an Adult Ambulatory Rheumatology Clinic through a Quality Improvement Process
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document Projects
Patients with autoimmune rheumatic diseases are at high risk for infections. Currently 6 vaccines are recommended by the Advisory Council on Immunization Practices for routine immunization of immunocompromised adults in the United States: influenza, tetanus/diphtheria/pertussis, herpes zoster, human papilloma virus, and two pneumococcal vaccines. Levels of vaccination coverage for all adults in the United States are below target; paradoxically, despite their increased susceptibility to infection and risk of complications, the levels of vaccination coverage for patients with immune mediated inflammatory diseases are even lower than in the general population. A quality improvement project was conducted in order to overcome system barriers and improve influenza and pneumococcal vaccination coverage in this vulnerable population.