| The effect of additional shots on the vaccine administration process: results of a time-motion study in 2 settings. | |
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MedLine Citation:
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PMID: 11184065 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: The introduction of combination vaccines to the pediatric regimen offers the possibility of reducing the number of injections required to reach full vaccination status. Fewer injections benefit the patient/child and the parent/caregiver, and the healthcare provider may benefit from savings in personnel time associated with vaccine administration. To date, however, these savings have not been quantified. OBJECTIVE: To study the vaccine administration process in a managed care environment. STUDY DESIGN: We studied 2 settings in which vaccinations were administered: (1) a devoted injection room and (2) the examination room as part of the well-child examination. For each setting, we documented the vaccine administration process, identified vaccine-related activities, and quantified the time savings in each activity by reductions in the number of shots. PATIENTS AND METHODS: For vaccine recipients younger than 2 years, time-motion data on vaccine-related activities in 2 managed care settings were collected by a professional industrial engineering consultant. Activity time data by the number of shots administered were analyzed using linear regression adjusting for patient age. RESULTS: We observed 276 vaccination visits (137 in an examination room, and 139 in an injection room). Total nurse time associated with vaccine administration decreased by 2.4 and 1.7 minutes per shot eliminated in the examination room setting (P = .006) and in the injection room setting (P < .001), respectively. Significant time savings were realized for activities associated with vaccine preparation, vaccine injection, and administrative duties. In addition, infant crying time decreased by 1.0 and 0.4 minutes per shot eliminated in the examination room and injection room settings, respectively (P < or = .001 for both). CONCLUSIONS: Significant reductions in vaccine administration time could be achieved by eliminating injections during a well-child regimen. |
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Authors:
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J M Pellissier; P M Coplan; L A Jackson; J E May |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of managed care Volume: 6 ISSN: 1088-0224 ISO Abbreviation: Am J Manag Care Publication Date: 2000 Sep |
Date Detail:
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Created Date: 2000-10-30 Completed Date: 2000-11-02 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1038-44 Citation Subset: H |
Affiliation:
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Merck Research Laboratories, Blue Bell, PA 19422, USA. james_pellissier@merck.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Health Services
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organization & administration,
utilization* Crying Drug Administration Schedule Humans Infant Managed Care Programs / organization & administration, utilization* Nursing Services / organization & administration, utilization Office Visits / statistics & numerical data* Process Assessment (Health Care)* Time and Motion Studies* Vaccination / statistics & numerical data, utilization* Vaccines, Combined |
| Chemical | |
Reg. No./Substance:
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0/Vaccines, Combined |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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