Improving Utilization of Vaccine Two-Dimensional (2D) Barcode Scanning Technology Maximizes Accuracy Benefits.
Journal
Journal for healthcare quality : official publication of the National Association for Healthcare Quality
ISSN: 1945-1474
Titre abrégé: J Healthc Qual
Pays: United States
ID NLM: 9202994
Informations de publication
Date de publication:
Historique:
pubmed:
17
6
2020
medline:
6
7
2021
entrez:
17
6
2020
Statut:
ppublish
Résumé
Recording vaccine data accurately can be problematic in medical documentation, including blank and inaccurate records. Vaccine two-dimensional (2D) barcode scanning has shown promise, yet scanner use to record vaccine data is limited. We sought to identify strategies to improve scanning rates and assess changes in accuracy. Between January and June 2017, 27 pilot sites within a large health system were assigned to one of four groups to test strategies to maximize scanner use: training only, commitment card, scanning report, or combination. Seventy-two thousand vaccine records were assessed for completeness, accuracy, and scanning. Significant increases in vaccinator scanning rates found with commitment card and scanning report inclusion (alone and paired) compared with the training-only group. Record completeness and accuracy significantly improved with use of scanning. When manually entered, about 1 in 9 records had a missing or inaccurate expiration date; when scanned, this dropped to 1 in 5,000. Pilot findings indicate 2D scanning has the potential to eliminate most omissions and inaccuracies in vaccine records. Such data are critical during a recall or need to trace specific vaccines or patients. Consistent use and expanded adoption of 2D scanning can meaningfully improve the quality of vaccine records and clinical practices.
Sections du résumé
BACKGROUND
Recording vaccine data accurately can be problematic in medical documentation, including blank and inaccurate records. Vaccine two-dimensional (2D) barcode scanning has shown promise, yet scanner use to record vaccine data is limited. We sought to identify strategies to improve scanning rates and assess changes in accuracy.
METHODS
Between January and June 2017, 27 pilot sites within a large health system were assigned to one of four groups to test strategies to maximize scanner use: training only, commitment card, scanning report, or combination. Seventy-two thousand vaccine records were assessed for completeness, accuracy, and scanning.
RESULTS
Significant increases in vaccinator scanning rates found with commitment card and scanning report inclusion (alone and paired) compared with the training-only group. Record completeness and accuracy significantly improved with use of scanning. When manually entered, about 1 in 9 records had a missing or inaccurate expiration date; when scanned, this dropped to 1 in 5,000.
CONCLUSIONS
Pilot findings indicate 2D scanning has the potential to eliminate most omissions and inaccuracies in vaccine records. Such data are critical during a recall or need to trace specific vaccines or patients.
IMPLICATIONS
Consistent use and expanded adoption of 2D scanning can meaningfully improve the quality of vaccine records and clinical practices.
Identifiants
pubmed: 32544140
pii: 01445442-202102000-00006
doi: 10.1097/JHQ.0000000000000265
doi:
Substances chimiques
Vaccines
0
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Pagination
39-47Informations de copyright
Copyright © 2020 National Association for Healthcare Quality.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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