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Infect Control Hosp Epidemiol. 2009 Jan;30(1):86-8. doi: 10.1086/593121.

Clinical trial of standing-orders strategies to increase the inpatient influenza vaccination rate.

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  • 1Department of Medicine, John H. Stroger Hospital of Cook County and Rush Medical College, Chicago, Illinois 60612, USA.


We compared strategies to increase the rate of influenza vaccination. A written standing-orders policy that enabled nurses to vaccinate patients was compared with augmentation of the standing-orders policy with either electronic opt-out orders for physicians or electronic reminders to nurses. Use of opt-out orders yielded the highest vaccination rate (12% of patients), followed by use of nursing reminders (6%); use of the standing-orders policy alone was ineffective.

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