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Am J Kidney Dis. 2011 Feb;57(2):283-90. doi: 10.1053/j.ajkd.2010.09.019. Epub 2010 Dec 13.

A group-randomized evaluation of a quality improvement intervention to improve influenza vaccination rates in dialysis centers.

Author information

  • 1Department of Epidemiology, Emory University, Atlanta, GA 30322, USA. tcbphd2@gmail.com

Abstract

BACKGROUND:

Patients with end-stage renal disease (ESRD) are at high risk of complications from influenza, but many dialysis centers report <50% influenza immunization coverage.

STUDY DESIGN:

A group-randomized evaluation of a multicomponent intervention to increase influenza vaccination rates in poorly performing dialysis centers in ESRD Networks 6, 11, and 15.

SETTING & PARTICIPANTS:

Facilities with the lowest immunization percentages in 2006-2007 were selected from each network and randomly assigned to a standard (n = 39) or intensive intervention (n = 38).

INTERVENTION:

Standard intervention included a feedback report with comparison to other centers in their network and educational materials for staff and patients. Intensive-intervention centers also received 3 educational seminars, assistance with and review of center-specific action plans, and monthly monitoring of vaccination plan and rates.

OUTCOMES:

Change in vaccination rate in following year.

MEASUREMENTS:

Dialysis center records of patient vaccination status.

RESULTS:

There was an 8.9% (P = 0.04) adjusted mean absolute difference in improvement between intensive- and standard-intervention centers.

LIMITATIONS:

Some vaccinations were self-reported by patients. The vaccination data form does not have an option for patient data unavailable, which may have caused patients without data to be coded as unvaccinated.

CONCLUSIONS:

Multicomponent interventions may serve as a successful strategy to increase influenza vaccination rates at poorly performing centers, with a benefit beyond that provided by usual oversight and support.

Copyright © 2011 National Kidney Foundation, Inc. All rights reserved.

PMID:
21146267
[PubMed - indexed for MEDLINE]
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