Download - 2012 Quality Improvement
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2012 Quality Improvement
Improving Immunization Process
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Why Quality Improvement? Health District interest in
systematic evaluation and improvement of its programs and processes
Immunization program already tracking administration errors
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Immunizations Project Team
Scott Davis, QI Coordinator TPCHD Brenda Newell, LICSW HIV/STD/VHO Mgr SHD Rita Mell, RN, BSN Immunization Mgr SHD Ivy Giessen, Applications Systems Analyst SHD Immunization Clinic Staff SHD
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Immunization Project Identification
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Immunization AIM Statement
Reduce the immunization error rate from 1-2/1000 to less than 1/10,000 administrations by 12/31/2012
30% reduction in error rate from 5.3/1000 to 4/1000 administrations by 12/31/2012
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Introduce QI method to staff – buy in Obtain baseline data Define error type Standardize clinic processes Establish new work flow
Immunization Project Activities
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Immunization Root Cause
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Immunization Tracking
0
500
1,000
1,500
2,000
2,500
1,425
1,9231,783
1,220
868712
1,782
1,1011,344
906739721
VPD QI Vaccination Data Quality ReportAugust 2011 - Aug 2012
Administered Doses Source: Washington Immunization Information System (WAIIS)
Total Administered Doses 14,524
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Immunization Error Type
Additional Dose Wrong Vaccine Minimum IntervalNot Met
OutsideAge Range
Anaphylaxis &Repeat Dose
Live Virus &Immunocompromised
0%
10%
20%
30%
40%
50%
60%
70%
61%
21%
13%
5%0% 0%
VPD QI Vaccination Data Quality ReportAugust 2011 - August 2012
Error Type
Total Errors 77
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Immunization Errors
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Aim Statement30% reduction in error
December 2011, baseline 5.3/1000
January—August 2012:• Total doses = 8,466• Total errors = 22• 2.5/1000 error rate• 53% reduction in error!
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Next Steps
Continue monthly analysis of doses administered
Calculate error rate Remediate repetitive errors Create atmosphere of excellence Embrace change
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For more information, contact:
Rita Mell, RN, BSNPhone: 425-339-8626Email: [email protected]
www.snohd.org