| Literature DB >> 15187067 |
Frances M Weaver1, Michael Hatzakis, Charlesnika T Evans, Bridget Smith, Sherri L LaVela, Carolyn Wallace, Marcia W Legro, Barry Goldstein.
Abstract
Monitoring vaccination activity requires regular access to information about patient vaccination status. This report describes our experience using multiple Department of Veterans Affairs (VA) data sources to determine availability and completeness of vaccination information for veterans with spinal cord injuries and disorders (SCI&D). Administrative and clinical databases were limited to coding vaccine administration, undercounted vaccinations, and were unable to account for whether the vaccine was offered and the reasons for nonreceipt. Medical record review provided more detail but was labor intensive and costly. Patient surveys provided the richest information but were costly, time-consuming, and based on a sample of patients. Agreement was poor between data sources. This report suggests that while VA is well positioned to use national databases for clinical care decisions and to inform policy, vaccination data were incomplete. Electronic records must include data that are consistently entered and validated before they can be useful for care management and decision making.Entities:
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Year: 2004 PMID： 15187067 PMCID： PMC516244 DOI： 10.1197/jamia.M1516
Source DB: PubMed Journal: J Am Med Inform Assoc ISSN： 1067-5027 Impact factor: 4.497