{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:32:26Z","timestamp":1779381146835,"version":"3.53.1"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":1858,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:sec id=\"S0195941700037966_abs1\">\n                    <jats:title>Background.<\/jats:title>\n                    <jats:p>Although influenza vaccination of healthcare workers reduces influenza-like illness and overall mortality among patients, national rates of vaccination for healthcare providers are unacceptably low. We report the implementation of a new mandatory vaccination policy by means of a streamlined electronic enrollment and vaccination tracking system at the National Institutes of Health (NIH) Clinical Center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700037966_abs2\">\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>To evaluate the outcome of a new mandatory staff influenza vaccination program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700037966_abs3\">\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>A new hospital policy endorsed by all the component NIH institutes and the Clinical Center departments mandated that employees who have patient contact either be vaccinated annually against influenza or sign a declination specifying the reason(s) for refusal. Those who fail to comply would be required to appear before the Medical Executive Committee to explain their rationale. We collected in a database the names of all physician and nonphysician staff who had patient contact. When a staff member either was vaccinated or declined vaccination, a simple system of badge scanning and bar-coded data entry captured essential data. The database was continuously updated, and it provided a list of noncompliant employees with whom to follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700037966_abs4\">\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>By February 12, 2009, all 2,754 identified patient-care employees either were vaccinated or formally declined vaccination. Among those, 2,424 (88%) were vaccinated either at the NIH or elsewhere, 36 (1.3%) reported medical contraindications, and 294 (10.7%) declined vaccination for other reasons. Among the 294 employees without medical contraindications who declined, the most frequent reason given for declination was concern about side effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700037966_abs5\">\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Implementation of a novel vaccination tracking process and a hospital policy requiring influenza vaccination or declination yielded dramatic improvement in healthcare worker vaccination rates and likely will result in increased patient safety in our hospital.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1086\/648084","type":"journal-article","created":{"date-parts":[[2009,10,27]],"date-time":"2009-10-27T17:05:27Z","timestamp":1256663127000},"page":"1137-1142","source":"Crossref","is-referenced-by-count":43,"title":["A Successful Mandatory Influenza Vaccination Campaign Using an Innovative Electronic Tracking System"],"prefix":"10.1017","volume":"30","author":[{"given":"Tara N.","family":"Palmore","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Patrick","family":"Vandersluis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Morris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Michelin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Ruprecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Schmitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David K.","family":"Henderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700037966_ref010","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39010.581354.55"},{"key":"S0195941700037966_ref008","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/175.1.1"},{"key":"S0195941700037966_ref014","doi-asserted-by":"publisher","DOI":"10.1086\/502512"},{"key":"S0195941700037966_ref027","volume-title":"19th Annual Scientific Meeting of the Society for Healthcare Epidemiology of America","author":"Babcock","year":"2009"},{"key":"S0195941700037966_ref021","unstructured":"Centers for Disease Control and Prevention. State Immunization Laws for Healthcare Workers and Patients. Atlanta, GA: Centers for Disease Control and Prevention. Updated May 28,2009. Available at http:\/\/www2axdc.gov\/nip\/stateVaccApp\/StateVaccsApp\/default.asp. Accessed May 28, 2009."},{"key":"S0195941700037966_ref028","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000310328.47809.d4"},{"key":"S0195941700037966_ref022","doi-asserted-by":"publisher","DOI":"10.1086\/527573"},{"key":"S0195941700037966_ref002","doi-asserted-by":"publisher","DOI":"10.1086\/425004"},{"key":"S0195941700037966_ref018","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.ajic.2004.03.001","article-title":"APIC position paper: improving health care worker influenza immunization rates","volume":"32","author":"Dash","year":"2004","journal-title":"Am J Infect Control"},{"key":"S0195941700037966_ref001","unstructured":"Centers for Disease Control and Prevention. Flu symptoms and severity. Atlanta, GA: Centers for Disease Control and Prevention. Available at: http:\/\/www.cdc.gov\/flu\/about\/disease\/symptoms.htm. Accessed May 20, 2009."},{"key":"S0195941700037966_ref006","doi-asserted-by":"publisher","DOI":"10.1086\/501786"},{"key":"S0195941700037966_ref016","unstructured":"American College of Physicians. ACP Policy on Influenza Vaccination of Health Care Workers. Philadelphia, PA: American College of Physicians, 2007. Available at: http:\/\/www.acponline.org\/clinical_information\/resources\/adult_immunization\/. Accessed May 28, 2009."},{"key":"S0195941700037966_ref007","doi-asserted-by":"publisher","DOI":"10.1086\/502011"},{"key":"S0195941700037966_ref026","volume-title":"42nd National Immunization Conference","author":"Hagar","year":"2008"},{"key":"S0195941700037966_ref029","doi-asserted-by":"publisher","DOI":"10.1086\/526431"},{"key":"S0195941700037966_ref012","unstructured":"National Foundation for Infectious Diseases. Influenza Immunization Among Health Care Personnel: Call to Action. Bethesda, MD: National Foundation for Infectious Diseases, 2008. Available at: http:\/\/www.nfid .org\/publications\/. Accessed May 20, 2009."},{"key":"S0195941700037966_ref017","unstructured":"National Foundation for Infectious Diseases. Improving Influenza Vaccination Rates in Healthcare Workers: Strategies to Increase Protection for Workers and Patients. Bethesda, MD: National Foundation for Infectious Diseases, 2004. Available at: http:\/\/www.nfid.org\/publications\/. Accessed May 28, 2009."},{"key":"S0195941700037966_ref024","doi-asserted-by":"publisher","DOI":"10.1086\/523866"},{"key":"S0195941700037966_ref013","first-page":"1","article-title":"Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2008","volume":"57","author":"Fiore","year":"2008","journal-title":"MMWR Recomm Rep"},{"key":"S0195941700037966_ref025","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2006.10.005"},{"key":"S0195941700037966_ref011","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(06)70462-5"},{"key":"S0195941700037966_ref023","doi-asserted-by":"publisher","DOI":"10.1086\/588590"},{"key":"S0195941700037966_ref005","first-page":"1","article-title":"Influenza vaccination of healthcare personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP)","volume":"55","author":"Pearson","year":"2006","journal-title":"MMWR Recomm Rep"},{"key":"S0195941700037966_ref019","unstructured":"American Nurses Association. Report to the Board of Directors on Seasonal Influenza Vaccination for Registered Nurses. Silver Spring, MD: American Nurses Association, 2006. Available at http:\/\/www.prevent influenza.org\/ANAonHCW.pdf. Accessed May 28, 2009."},{"key":"S0195941700037966_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)05190-9"},{"key":"S0195941700037966_ref015","unstructured":"Infectious Diseases Society of America. Flu Experts Call for Mandatory Shots for Health Care Workers. Arlington, VA: Infectious Diseases Society of America, 2007. Available at: http:\/\/www.idsociety.org\/Content.aspx?id=3708. Accessed May 20, 2009."},{"key":"S0195941700037966_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.02.009"},{"key":"S0195941700037966_ref004","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.297"},{"key":"S0195941700037966_ref003","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2008.08.013"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0195941700037966","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T02:38:13Z","timestamp":1556591893000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0195941700037966\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12]]},"references-count":29,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["S0195941700037966"],"URL":"https:\/\/doi.org\/10.1086\/648084","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.1245957.4788054","asserted-by":"object"},{"id-type":"doi","id":"10.3410\/f.1245957.714055","asserted-by":"object"}]},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12]]}}}