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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >FluAlert: a qualitative evaluation of providers' desired characteristics and concerns regarding computerized influenza vaccination alerts.
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FluAlert: a qualitative evaluation of providers' desired characteristics and concerns regarding computerized influenza vaccination alerts.

机译：FluAlert：对提供者的期望特征和对计算机化流感疫苗警报的关注的定性评估。

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OBJECTIVE: To explore pediatric providers' perceived barriers to influenza vaccine delivery, and desired characteristics and potential concerns regarding an influenza vaccine alert integrated into the electronic health record (EHR). METHODS: Four focus groups with providers (n=21) and five individual interviews with practice leaders in an urban, pediatric primary care network affiliated with an academic medical center in New York City were conducted. Data were collected during the 2009-10 influenza season and analyzed using thematic analysis. RESULTS: Participants identified several barriers to influenza vaccine delivery, including remembering to vaccinate during sick visits, need to review multiple sources of immunization information, time shortages and inadequate staffing. They felt that an alert could help many of these challenges. They desired the following alert characteristics: 1) alerting providers early in the visit, 2) accurately determining patients' vaccine status by merging multiple sources of immunization information, 3) facilitating vaccine ordering, and 4) generating appropriate documentation in the EHR when vaccines were refused or otherwise not given. Potential concerns regarding the alert included reliability and accuracy of alert, workflow interruptions and forced actions. CONCLUSIONS: This study highlights providers' interest in a well-integrated, accurate alert that streamlines assessment of vaccination eligibility, ordering and documentation without impeding work-flow.
机译：目的：探讨儿科医师对流感疫苗交付的感知障碍，以及将流感疫苗警报集成到电子健康记录（EHR）中的预期特征和潜在问题。方法：与提供者（n = 21）进行了四个焦点小组讨论，并在与纽约市学术医疗中心相关的城市，儿科初级保健网络中与实践负责人进行了五次单独访谈。在2009-10流感季节收集了数据，并使用主题分析进行了分析。结果：参与者确定了流感疫苗交付的几个障碍，包括记住在病假期间进行疫苗接种，需要审查多种免疫信息来源，时间紧缺和人员配备不足。他们认为警报可以帮助解决许多挑战。他们希望获得以下警报特征：1）在拜访初期向提供者发出警报; 2）通过合并多种免疫信息来源来准确确定患者的疫苗状况; 3）促进疫苗订购;以及4）在接种疫苗时在EHR中生成适当的文档拒绝或未提供。有关警报的潜在问题包括警报的可靠性和准确性，工作流中断和强制措施。结论：这项研究突出了提供者对一种集成良好，准确的警报的兴趣，该警报可简化对疫苗接种资格，订购和文件记录的评估，而不会妨碍工作流程。

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