Shingles Vaccine: Electronic Medical Records and Pharmacist Intervention Improve Care : Vermont Maturity

Shingles Vaccine: Electronic Medical Records and Pharmacist Intervention Improve Care : Vermont Maturity

13. ZOSTAVAX® is not licensed for use in immunosuppressed persons and in the United States for individuals less than 50 years of age. Vaccine clinical development follows the same general pathway as drugs and other biologics. Explain recent safety data regarding vaccines. Partial credit is not available. Of the 674 personal health record users, 250 were randomized to receive information regarding the herpes zoster vaccination via an electronic message and 424 were randomized to standard of care. The Technical Instructions include a vaccination component, specifying how the civil surgeon has to conduct the vaccination assessment.

Shingles Vaccine: Electronic Medical Records and Pharmacist Intervention Improve Care : Vermont Maturity
This is illustrated both by the color scheme and by the broken line. Patients with an active PHR that received email information on shingles had the highest vaccination rate of 13.2 percent, compared to a rate of 5 percent for patients with an active PHR that did not receive the email information. For patients that did not have an active PHR but did receive mailed information, the vaccination rate was 5.2 percent compared to a rate of 1.8 percent for patients without an active PHR and received no information. However, EHR vaccination data may be incomplete because many patients receive vaccinations outside of their rheumatologist’s office and their primary care clinician may practice in a different health system. 59(RR–8), 1–62 (2010). Hallarn, who did not participate in the study, recovered fully from her bout with shingles, and got vaccinated to help prevent a recurrence. An active user of her online health record, Hallarn says she requested a prescription for the shingles vaccine online through her chart, but then had to manually update her file to reflect that she had gotten the vaccine, something that study authors acknowledge is an ongoing issue.

An example that authors point to in the study was that during the EMR review, pharmacists were able to identify a few patients who shouldn’t get the vaccine. Reactivation of viral replication from latency results in a number of clinical syndromes, most commonly herpes zoster, or shingles. The number of missed days of school for children and missed days of work for parents is substantial. Click to Review 3 . The ACIP considered multiple factors in making this recommendation. Demographic data and personal health record status also were included in this report. I am seeking immigrant status in the United States but had a medical examination abroad by a panel physician; I also received some vaccines.

Instructions for reporting adverse events to the Vaccine Adverse Event Reporting System are available at http://www.vaers.hhs.gov or by telephone, 800-822-7967. Some patients are stricken with a prolonged pain syndrome called “post herpetic neuralgia” that can last months, or in rare cases, years. The rash can lead to complications ranging from blindness to urinary problems. A study interviewer called potential respondents up to 6 times and invited them to participate in a 10-minute structured telephone interview. 9(Suppl.4), S258–S262 (2009).

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