Sean T O'Leary1, Laura P Hurley2, Erin D Kennedy3, Lori A Crane4, Michaela Brtnikova5, Mandy A Allison5, Warren Williams3, Brenda L Beaty6, Andrea Jimenez-Zambrano6, Allison Kempe5. 1. Adult and Child Center for Health Outcomes Research and Delivery Science, Aurora, Colo; Department of Pediatrics, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colo. Electronic address: sean.o'leary@childrenscolorado.org. 2. Adult and Child Center for Health Outcomes Research and Delivery Science, Aurora, Colo; Division of General Internal Medicine, Denver Health, Denver, Colo. 3. National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Ga. 4. Adult and Child Center for Health Outcomes Research and Delivery Science, Aurora, Colo; Department of Community and Behavioral Health, School of Public Health, Denver, Colo. 5. Adult and Child Center for Health Outcomes Research and Delivery Science, Aurora, Colo; Department of Pediatrics, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colo. 6. Adult and Child Center for Health Outcomes Research and Delivery Science, Aurora, Colo.
Abstract
OBJECTIVE: To assess among US pediatricians' systems for tracking vaccine administration and inventory and attitudes about these systems; and attitudes regarding and perceived barriers to adoption of a 2-dimensional bar code systems. METHODS: Internet and mail survey of a nationally representative network of pediatricians between September 2011 and January 2012. RESULTS: The response rate was 71% (288 of 408). The most common methods for recording vaccine information were manual entry into an electronic (52%) or paper (27%) record; 76% recorded information in ≥2 places. Physicians reported ordering vaccine on the basis of seasonal increases in demand (55%), paper-based inventory (52%), or when stock looks low (47%); 79% reported it was time consuming to track inventory and 24% reported their practices frequently run out of vaccines. Among those participating in an immunization information system, 29% transmitted data by automatic uploads and 58% entered data manually. Physicians agreed that bar codes could facilitate tracking of vaccine inventory (96%), would improve patient safety (96%), would be more reliable and accurate than current systems (93%), and could improve the efficiency of vaccine administration (90%). Barriers to adoption of a bar code system included need for software (52%), information technology support (42%), and computer equipment (33%). The total cost at which >50% reported they would definitely or probably adopt a bar code system was between $1000 and $4999. CONCLUSIONS: Most pediatricians report using inefficient systems for tracking vaccine administration and inventory and recognize multiple potential benefits of incorporating vaccine bar coding into their practice. To facilitate adoption, costs will need to be contained and technological barriers addressed.
OBJECTIVE: To assess among US pediatricians' systems for tracking vaccine administration and inventory and attitudes about these systems; and attitudes regarding and perceived barriers to adoption of a 2-dimensional bar code systems. METHODS: Internet and mail survey of a nationally representative network of pediatricians between September 2011 and January 2012. RESULTS: The response rate was 71% (288 of 408). The most common methods for recording vaccine information were manual entry into an electronic (52%) or paper (27%) record; 76% recorded information in ≥2 places. Physicians reported ordering vaccine on the basis of seasonal increases in demand (55%), paper-based inventory (52%), or when stock looks low (47%); 79% reported it was time consuming to track inventory and 24% reported their practices frequently run out of vaccines. Among those participating in an immunization information system, 29% transmitted data by automatic uploads and 58% entered data manually. Physicians agreed that bar codes could facilitate tracking of vaccine inventory (96%), would improve patient safety (96%), would be more reliable and accurate than current systems (93%), and could improve the efficiency of vaccine administration (90%). Barriers to adoption of a bar code system included need for software (52%), information technology support (42%), and computer equipment (33%). The total cost at which >50% reported they would definitely or probably adopt a bar code system was between $1000 and $4999. CONCLUSIONS: Most pediatricians report using inefficient systems for tracking vaccine administration and inventory and recognize multiple potential benefits of incorporating vaccine bar coding into their practice. To facilitate adoption, costs will need to be contained and technological barriers addressed.
Authors: Sabeena Setia; Hugh Mainzer; Michael L Washington; Gary Coil; Robert Snyder; Bruce G Weniger Journal: Vaccine Date: 2002-01-15 Impact factor: 3.641
Authors: Shawn R McMahon; Martha Iwamoto; Mehran S Massoudi; Hussain R Yusuf; John M Stevenson; Felicita David; Susan Y Chu; Larry K Pickering Journal: Pediatrics Date: 2003-04 Impact factor: 7.124
Authors: Lori A Crane; Matthew F Daley; Jennifer Barrow; Christine Babbel; Shannon Stokley; L Miriam Dickinson; Brenda L Beaty; John F Steiner; Allison Kempe Journal: Eval Health Prof Date: 2008-01-08 Impact factor: 2.651
Authors: Alan C O'Connor; Erin D Kennedy; Ross J Loomis; Saira N Haque; Christine M Layton; Warren W Williams; Jacqueline B Amoozegar; Fern M Braun; Amanda A Honeycutt; Cindy Weinbaum Journal: Vaccine Date: 2013-05-09 Impact factor: 3.641
Authors: Allison Kempe; Laura P Hurley; Cristina V Cardemil; Mandy A Allison; Lori A Crane; Michaela Brtnikova; Brenda L Beaty; Laura J Pabst; Megan C Lindley Journal: Am J Prev Med Date: 2016-09-14 Impact factor: 5.043
Authors: Kirk D Henny; Christopher C Duke; Angelica Geter; Zaneta Gaul; Chantell Frazier; Jennifer Peterson; Kate Buchacz; Madeline Y Sutton Journal: AIDS Behav Date: 2019-11
Authors: Kirk D Henny; Christopher C Duke; Kate Buchacz; John T Brooks; Taraz Samandari; Madeline Y Sutton Journal: Prev Med Date: 2019-10-31 Impact factor: 4.018
Authors: Michaela Brtnikova; Lori A Crane; Mandy A Allison; Laura P Hurley; Brenda L Beaty; Allison Kempe Journal: PLoS One Date: 2018-08-23 Impact factor: 3.240