ArticlePediatric transplantation2016
A quality improvement initiative to increase pneumococcal vaccination coverage among children after kidney transplant.
Article in Pediatric transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 20 citations in OpenAlex.
- Effect of Electronic Health Record Reminders for Routine Immunizations and Immunizations Needed for Chronic Medical Conditions.Applied clinical informatics · 2021Trial
- Vaccination in Children with Chronic Kidney Disease: Current Status and Perspectives.Vaccines · 2025Review
- The impact of a quality improvement continuing medical education intervention on physicians' vaccination practice: a controlled study.Human vaccines & immunotherapeutics · 2020Observational
- Application of quality improvement approaches in health-care settings to reduce missed opportunities for childhood vaccination: a scoping review.Human vaccines & immunotherapeutics · 2019Article
- Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review.Adolescent health, medicine and therapeutics · 2019Article
- Immunization Adherence in Children With Sickle Cell Disease: A Single-Institution Experience.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAGArticle
- Pneumococcal Vaccine Use and Immunogenicity in Patients with Glomerular Disease: A Scoping Review and Analysis of Healthcare Claims Data.Glomerular diseasesArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
Pneumococcal vaccination rates among children receiving a kidney transplant remain suboptimal. Current practice guidelines in the United States recommend giving the PPSV23 after priming with the PCV13. We conducted a QI initiative to increase pneumococcal vaccine rates in our kidney transplant recipients by developing an age-based vaccine algorithm, obtaining vaccine records, and generating reminders for patients and clinicians. A monthly report from the EHR tracked outcomes. The process metric was missed vaccine opportunities, and the overall objective was to improve coverage with both the PCV13 and PPSV23. Over the first six months, we increased the percentage of visits where the vaccine was given from a baseline of 4% to 33%. However, by the end of the 12-month period, the percentage of eligible visits where the vaccine was given decreased to 8.7%. Nevertheless, over the 12-month observation period, we were able to increase the percentage of transplant patients receiving the PCV13 and PPSV23 from 6% to 52%. Utilizing an age-based algorithm and the electronic medical record, vaccine champions can track both missed visit opportunities and the number of vaccinated patients to improve pneumococcal immunization coverage for these high-risk patients.
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Registered trials
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.