Evidence map›Paper›PMID 17712091›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Using electronic medical records to enhance detection and reporting of vaccine adverse events.

Virginia L Hinrichsen, Benjamin Kruskal, Megan A O'Brien, Tracy A Lieu, Richard Platt

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. COVID-19 calls for health systems strengthening in Africa: A case of Nigeria.The International journal of health planning and management · 2021
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Advanced Clinical Decision Support for Vaccine Adverse Event Detection and Reporting.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Emerging vaccine informatics.Journal of biomedicine & biotechnology · 2010
    Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Virginia L HinrichsenDept. of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Boston, MA 02215, USA. Virginia_Hinrichsen@HarvardPilgrim.org
Benjamin Kruskal
Megan A O'Brien
Tracy A Lieu
Richard Platt
Harvard Pilgrim Health Care · USHarvard Vanguard Medical Associates · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We implemented an automated vaccine adverse event surveillance and reporting system based in an ambulatory electronic medical record to improve underreporting and incomplete reporting that prevails in spontaneous systems. This automated system flags potential vaccine adverse events for the clinician when a diagnosis is entered, prompts clinicians to consider the vaccine as a cause of the condition, and facilitates reporting of suspected adverse events to the Vaccine Adverse Event Reporting System (VAERS). During five months, a total of 33,420 vaccinations were administered during 14,466 encounters. There were 5,914 follow-up contacts by vaccinees within 14 days of the vaccination visits; 686 (11.6%) generated an alert. Clinicians submitted VAERS reports for 23 of these (0.69 per 1,000 vaccine doses), which is almost 6 times the dose-based reporting rate to VAERS. (1) Clinician surveys indicated that it took a minimal amount of time to respond to the alerts. Of those who felt that an alert corresponded to an actual vaccine adverse event, the majority used the reporting feature to file a VAERS report. We believe that elicited surveillance via real time prompts to clinicians holds substantial promise. By coupling simplified reporting with the initial prompt, clinicians can consider and report a vaccine adverse event electronically in a few moments during the office visit.

Indexed as

Adverse Drug Reaction Reporting SystemsMedical Records Systems, ComputerizedAdolescentChildChild, PreschoolData CollectionHumansInfantPediatricsReminder SystemsUser-Computer InterfaceVaccinesVaccines

Identifiers

PMID17712091
PMCPMC2213485
OpenAlexW1505083991

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.