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document
Impact of an encounter-based prompting system on resident vaccine administration performance and immunization knowledge . OBJECTIVES To evaluate an encounter-based immunization prompting system on resident performance in administering vaccines and knowledge of immunization guidelines . DESIGN/METHODS Prospective randomized , controlled trial . Subjects were first- and second-year pediatric residents in a hospital-based continuity clinic . The intervention group received manual prompts of immunizations due . Postclinic chart review compared immunizations due with those administered . Acceptable and unacceptable reasons for not administering vaccines were assigned . Resident knowledge was measured by a 70-item examination . RESULTS The intervention group had significantly less missed opportunities/vaccine administration errors ( 11.4 % vs 21.6 % ) . The most common reason for unacceptable errors in the intervention group : vaccine was given too early ; in the control group : vaccine was postponed to next visit . Pre- and postintervention knowledge scores were similar : intervention group ( 75.5 % vs 80.7 % , control group ; 76.5 % vs 81.3 % ) . CONCLUSION An immunization prompting system in a hospital-based pediatric resident continuity clinic reduced missed opportunities/vaccine administration errors without significantly impacting resident knowledge of immunization guidelines.immunization schedule , vaccination , immunization , prompting systems , resident education .
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Intervention_Educational
encounter-based prompting system
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Intervention_Educational
encounter-based immunization prompting system
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Intervention_Educational
manual prompts of immunizations due
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Outcome_Mental
resident vaccine administration performance and immunization knowledge
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Outcome_Other
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Outcome_Mental
Resident knowledge
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Outcome_Mental
significantly less missed opportunities/vaccine administration errors
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Outcome_Mental
postintervention knowledge scores
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Outcome_Mental
reduced missed opportunities/vaccine administration errors
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Participant_Condition
resident vaccine administration performance and immunization knowledge .