Assessing the Immunization Information System and electronic health record interface accuracy for COVID-19 vaccinations.

IF 2.5 Q2 HEALTH CARE SCIENCES & SERVICES JAMIA Open Pub Date : 2023-07-01 DOI:10.1093/jamiaopen/ooad026
Sheila McGreevy, Megan Murray, Leny Montero, Cheryl Gibson, Branden Comfort, Michael Barry, Kalee Kirmer-Voss, Allison Coy, Tahira Zufer, Kathryn H Rampon, Jennifer Woodward
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Abstract

Objective: Our objective is to assess the accuracy of the COVID-19 vaccination status within the electronic health record (EHR) for a panel of patients in a primary care practice when manual queries of the state immunization databases are required to access outside immunization records.

Materials and methods: This study evaluated COVID-19 vaccination status of adult primary care patients within a university-based health system EHR by manually querying the Kansas and Missouri Immunization Information Systems.

Results: A manual query of the local Immunization Information Systems for 4114 adult patients with "unknown" vaccination status showed 44% of the patients were previously vaccinated. Attempts to assess the comprehensiveness of the Immunization Information Systems were hampered by incomplete documentation in the chart and poor response to patient outreach.

Conclusions: When the interface between the patient chart and the local Immunization Information System depends on a manual query for the transfer of data, the COVID-19 vaccination status for a panel of patients is often inaccurate.

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评估COVID-19疫苗接种免疫信息系统和电子健康记录接口的准确性。
目的:我们的目标是评估初级保健实践中一组患者在电子健康记录(EHR)中COVID-19疫苗接种状况的准确性,当需要手动查询州免疫数据库以访问外部免疫记录时。材料和方法:本研究通过手动查询堪萨斯州和密苏里州免疫信息系统,评估了大学卫生系统EHR中成人初级保健患者的COVID-19疫苗接种状况。结果:手工查询当地免疫信息系统4114例接种情况“未知”的成人患者,有44%的患者曾接种过疫苗。评估免疫信息系统全面性的努力受到图表文件不完整和对病人外展反应不佳的阻碍。结论:当患者图表与当地免疫信息系统之间的界面依赖于手动查询数据传输时,一组患者的COVID-19疫苗接种状态往往是不准确的。
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来源期刊
JAMIA Open
JAMIA Open Medicine-Health Informatics
CiteScore
4.10
自引率
4.80%
发文量
102
审稿时长
16 weeks
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