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Search All Research Studies
Topics
- Children/Adolescents (5)
- Clinical Decision Support (CDS) (2)
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- (-) Health Information Technology (HIT) (12)
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- (-) Vaccination (12)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 12 of 12 Research Studies DisplayedDutta S, McEvoy DS, Stump T
Clinical decision support reduces unnecessary tetanus vaccinations in the emergency department.
The authors implemented a clinical decision support alert in the electronic health record that warned providers when ordering a tetanus vaccine if a prior one had been given within 10 years and studied its efficacy to reduce potentially unnecessary vaccines in the ED. They found that a clinical decision support alert that warns ED clinicians that a patient may have an up-to-date tetanus vaccination status reduced potentially unnecessary vaccinations.
AHRQ-funded; HS027170.
Citation: Dutta S, McEvoy DS, Stump T .
Clinical decision support reduces unnecessary tetanus vaccinations in the emergency department.
Ann Emerg Med 2021 Sep;78(3):370-80. doi: 10.1016/j.annemergmed.2021.02.021..
Keywords: Clinical Decision Support (CDS), Shared Decision Making, Vaccination, Health Information Technology (HIT)
Orenstein EW, ElSayed-Ali O, Kandaswamy S
Evaluation of a clinical decision support strategy to increase seasonal influenza vaccination among hospitalized children before inpatient discharge.
The authors’ goal was to design and evaluate a clinical decision support (CDS) strategy to increase the proportion of eligible hospitalized children who receive a seasonal influenza vaccine prior to inpatient discharge. They found that a user-centered CDS may be associated with significantly improved influenza vaccination rates among hospitalized children.
AHRQ-funded; HS027689.
Citation: Orenstein EW, ElSayed-Ali O, Kandaswamy S .
Evaluation of a clinical decision support strategy to increase seasonal influenza vaccination among hospitalized children before inpatient discharge.
JAMA Netw Open 2021 Jul;4(7):e2117809. doi: 10.1001/jamanetworkopen.2021.17809..
Keywords: Children/Adolescents, Influenza, Vaccination, Clinical Decision Support (CDS), Health Information Technology (HIT), Hospital Discharge
Feldman AG, Atkinson K, Wilson K
Underimmunization of the solid organ transplant population: An urgent problem with potential digital health solutions.
This paper describes ways that digital health technologies may help solid organ transplant recipients stay free from vaccine-preventable infections so they are not underimmunized at the time of transplant and thereafter. Due to vaccine hesitancy and refusal in the general population, recipients can no longer rely on herd immunity to protect them. Digital health technologies can provide accurate information about vaccine safety, efficacy and timing in the pre- and post-transplant periods; make complete immunization records universally available and easily accessible; enable communication between patients and multiple providers; and provide automated vaccine reminders to both patients and providers.
AHRQ-funded; HS026510.
Citation: Feldman AG, Atkinson K, Wilson K .
Underimmunization of the solid organ transplant population: An urgent problem with potential digital health solutions.
Am J Transplant 2020 Jan;20(1):34-39. doi: 10.1111/ajt.15605..
Keywords: Transplantation, Surgery, Healthcare Utilization, Infectious Diseases, Telehealth, Health Information Technology (HIT), Vaccination
O'Leary ST, Narwaney KJ, Wagner NM
Efficacy of a web-based intervention to increase uptake of maternal vaccines: an RCT.
Tetanus, diphtheria, and acellular pertussis (Tdap) and influenza vaccines are recommended for pregnant women in each pregnancy, yet uptake is suboptimal. This study tested the efficacy of an online vaccine resource in increasing uptake of Tdap and influenza vaccines among pregnant women. The investigators concluded that Web-based vaccination information sent to pregnant women can positively influence maternal influenza vaccine uptake.
AHRQ-funded; HS021492.
Citation: O'Leary ST, Narwaney KJ, Wagner NM .
Efficacy of a web-based intervention to increase uptake of maternal vaccines: an RCT.
Am J Prev Med 2019 Oct;57(4):e125-e33. doi: 10.1016/j.amepre.2019.05.018..
Keywords: Vaccination, Pregnancy, Women, Health Information Technology (HIT), Social Media, Influenza
Szilagyi PG, Schaffer S, Rand CM
Text message reminders for child influenza vaccination in the setting of school-located influenza vaccination: a randomized clinical trial.
This study assessed whether text message reminders to parents could raise rates for children receiving school-located influenza vaccination (SLIV). Researchers randomized families with children in urban elementary schools to receive either text message plus SLIV (intervention) or SLIV alone (comparison). All parents were also sent two ‘backpack’ notifications and two autodialer phone reminders about SLIV at a single SLIV clinic. The text message reminders did not raise influenza vaccination rates above those observed with SLIV alone, and the authors conclude that more intensive interventions are needed to raise influenza vaccination rates.
AHRQ-funded; HS021163.
Citation: Szilagyi PG, Schaffer S, Rand CM .
Text message reminders for child influenza vaccination in the setting of school-located influenza vaccination: a randomized clinical trial.
Clin Pediatr 2019 Apr;58(4):428-36. doi: 10.1177/0009922818821878..
Keywords: Children/Adolescents, Influenza, Health Information Technology (HIT), Vaccination
Haidari LA, Brown ST, Ferguson M
The economic and operational value of using drones to transport vaccines.
Using a simulation model, the researchers performed sensitivity analyses to assess the impact of using an unmanned aerial system (UAS) for routine vaccine distribution under a range of circumstances . They found that implementing a UAS could increase vaccine availability and decrease costs in a wide range of settings and circumstances if the drones are used frequently enough to overcome the capital costs of installing and maintaining the system.
AHRQ-funded; HS023317.
Citation: Haidari LA, Brown ST, Ferguson M .
The economic and operational value of using drones to transport vaccines.
Vaccine 2016 Jul 25;34(34):4062-7. doi: 10.1016/j.vaccine.2016.06.022.
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Keywords: Health Information Technology (HIT), Healthcare Costs, Vaccination
Stockwell MS, Natarajan K, Ramakrishnan R
Immunization data exchange with electronic health records.
The researchers assessed the impact of exchange of immunization information between an immunization information system (IIS) and an electronic health record on up-to-date rates, overimmunization, and immunization record completeness for low-income, urban children and adolescents. Their findings demonstrated that data exchange can improve child and adolescent immunization status.
AHRQ-funded; HS022667.
Citation: Stockwell MS, Natarajan K, Ramakrishnan R .
Immunization data exchange with electronic health records.
Pediatrics 2016 Jun;137(6). doi: 10.1542/peds.2015-4335.
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Keywords: Children/Adolescents, Communication, Electronic Health Records (EHRs), Health Information Exchange (HIE), Health Information Technology (HIT), Vaccination
Saville AW, Gurfinkel D, Sevick C
Provider preferences and experiences with a countywide centralized collaborative reminder/recall for childhood immunizations.
The researchers assessed among providers in Colorado where a collaborative centralized reminder/recall (CC-R/R) using the Colorado Immunization Information System (CIIS) was performed: 1) preferences about CC-R/R conducted by the public health department (PHD); and 2) experiences with including their name on CC-R/R notices. Most practices are accepting of the PHD centrally conducting R/R, but most prefer collaboration that includes their name.
AHRQ-funded; HS021138.
Citation: Saville AW, Gurfinkel D, Sevick C .
Provider preferences and experiences with a countywide centralized collaborative reminder/recall for childhood immunizations.
Acad Pediatr 2016 Jan-Feb;16(1):50-6. doi: 10.1016/j.acap.2015.09.002.
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Keywords: Public Health, Vaccination, Health Information Technology (HIT), Children/Adolescents, Practice Patterns
Rand CM, Blumkin A, Vincelli P
Parent preferences for communicating with their adolescent's provider using new technologies.
The researchers assessed the views of parents of adolescents on various means to communicate with their adolescents’ physicians about vaccine reminders and appointments, medication refills and test results including phone, mail, e-mail, text messages, and personal health records (PHR). They found that young parents of adolescents are most likely to accept text message vaccine reminders; suburban parents prefer e-mail reminders. Personal health records are accepted generally by those parents who are younger and suburban.
AHRQ-funded; HS017951.
Citation: Rand CM, Blumkin A, Vincelli P .
Parent preferences for communicating with their adolescent's provider using new technologies.
J Adolesc Health 2015 Sep;57(3):299-304. doi: 10.1016/j.jadohealth.2015.06.006..
Keywords: Health Information Technology (HIT), Clinician-Patient Communication, Children/Adolescents, Vaccination
Shoup JA, Wagner NM, Kraus CR
Development of an interactive social media tool for parents with concerns about vaccines.
The researchers describe a process for designing, building, and evaluating a theory-driven social media intervention tool to help reduce parental concerns about vaccination. Based on focus groups, interviews, and usability evaluations, they made revisions to the tool’s content, design, functionality, and overall look and feel. They concluded that engaging parents at all stages of development is critical when designing a tool to address concerns about childhood vaccines.
AHRQ-funded; HS021492; HS019760.
Citation: Shoup JA, Wagner NM, Kraus CR .
Development of an interactive social media tool for parents with concerns about vaccines.
Health Educ Behav 2015 Jun;42(3):302-12. doi: 10.1177/1090198114557129..
Keywords: Vaccination, Social Media, Health Information Technology (HIT), Education: Patient and Caregiver
Stockwell MS, Catallozzi M, Camargo S
Registry-linked electronic influenza vaccine provider reminders: a cluster-crossover trial.
The objective of the study was to determine the impact on vaccine administration of EHR influenza vaccination reminders that are linked to a city immunization information system. It found that a noninterruptive, immunization information system–linked influenza vaccination reminder can increase vaccination late in the winter when fewer vaccine doses are usually administered. Tailoring the reminder to clinicians’ needs can increase its use.
AHRQ-funded; HS018158.
Citation: Stockwell MS, Catallozzi M, Camargo S .
Registry-linked electronic influenza vaccine provider reminders: a cluster-crossover trial.
Pediatrics 2015 Jan;135(1):e75-82. doi: 10.1542/peds.2014-2616..
Keywords: Health Information Technology (HIT), Influenza, Vaccination, Registries
Vawdrey DK, Natarajan K, Kanter AS
Informatics lessons from using a novel immunization information system.
This paper describes the informatics challenges and lessons learned during nearly 15 years of collecting, using, and exchanging electronic immunization information. The authors report on their experience with developing and using the EzVac system for 1) clinical care, both in local and global settings, 2) public health reporting, 3) consumer engagement, and 4) clinical and informatics research.
AHRQ-funded; HS018158.
Citation: Vawdrey DK, Natarajan K, Kanter AS .
Informatics lessons from using a novel immunization information system.
Stud Health Technol Inform 2013;192:589-93..
Keywords: Health Information Technology (HIT), Registries, Public Reporting, Vaccination