{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:03:04Z","timestamp":1790240584074,"version":"4.1.0"},"reference-count":29,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,1]]},"abstract":"\n OBJECTIVES:<\/jats:title>\n Children with asthma are at increased risk of complications from influenza; hospitalization represents an important opportunity for vaccination. We aimed to increase the influenza vaccination rate among eligible hospitalized patients with asthma on the pediatric hospital medicine (PHM) service from 13% to 80% over a 4-year period.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n Serial Plan-Do-Study-Act cycles were implemented to improve influenza vaccination rates among children admitted with status asthmaticus and included modifications to the electronic health record (EHR) and provider and family education. Success of the initial PHM pilot led to the development of a hospital-wide vaccination tracking tool and an institutional, nurse-driven vaccine protocol by a multidisciplinary team. Our primary outcome metric was the inpatient influenza vaccination rate among PHM patients admitted with status asthmaticus. Process measures included documentation of influenza vaccination status and use of the EHR asthma order set and a history and physical template. The balance measure was adverse vaccine reaction within 24 hours. Data analysis was performed by using statistical process control charts.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n The inpatient influenza vaccination rate increased from 13% to 57% over 4 years; special cause variation was achieved. Overall, 50% of eligible patients were vaccinated during asthma hospitalization in the postintervention period. Documentation of influenza vaccination status significantly increased from 51% to 96%, and asthma history and physical and order set use also improved. No adverse vaccine reactions were documented.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n A bundle of interventions, including EHR modifications, provider and family education, hospital-wide tracking, and a nurse-driven vaccine protocol, increased influenza vaccination rates among eligible children hospitalized with status asthmaticus.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2019-1735","type":"journal-article","created":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T13:25:26Z","timestamp":1582809926000},"source":"Crossref","is-referenced-by-count":13,"title":["Improving Influenza Vaccination in Hospitalized Children With Asthma"],"prefix":"10.1542","volume":"145","author":[{"given":"Dana M.","family":"Foradori","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine and Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther M.","family":"Sampayo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine and Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Aya","family":"Fanny","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine and Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera K.","family":"Namireddy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine and Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali M.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine and Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huay-ying","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine and Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,3,1]]},"reference":[{"key":"2021121013100234800_B1","unstructured":"Centers for Disease Control and Prevention. Estimated influenza illnesses, medical visits, hospitalizations, and deaths in the United States \u2014 2017\u20132018 influenza season. Available at: https:\/\/www.cdc.gov\/flu\/about\/burden\/2017-2018.htm. Accessed May 22, 2019"},{"issue":"4","key":"2021121013100234800_B2","doi-asserted-by":"crossref","first-page":"e20182367","DOI":"10.1542\/peds.2018-2367","article-title":"Recommendations for prevention and control of influenza in children, 2018-2019","volume":"142","author":"Committee on Infectious Diseases","year":"2018","journal-title":"Pediatrics"},{"key":"2021121013100234800_B3","unstructured":"Centers for Disease Control and Prevention. Flu symptoms & complications. Available at: https:\/\/www.cdc.gov\/flu\/consumer\/symptoms.htm. Accessed January 31, 2019"},{"issue":"6","key":"2021121013100234800_B4","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/cid\/ciy866","article-title":"Clinical practice guidelines by the Infectious Diseases Society of America: 2018 update on diagnosis, treatment, chemoprophylaxis, and institutional outbreak management of seasonal influenza","volume":"68","author":"Uyeki","year":"2019","journal-title":"Clin Infect Dis"},{"key":"2021121013100234800_B5","unstructured":"Centers for Disease Control and Prevention. Flu vaccination among children with current asthma. Available at: https:\/\/www.cdc.gov\/asthma\/asthma_stats\/flu_vaccination_child.html. 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Influenza vaccination: a summary for clinicians. Available at: https:\/\/www.cdc.gov\/flu\/professionals\/vaccination\/vax-summary.htm. Accessed February 20, 2019"},{"issue":"1","key":"2021121013100234800_B16","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.anai.2017.10.020","article-title":"Administration of influenza vaccines to egg allergic recipients: a practice parameter update 2017","volume":"120","author":"Greenhawt","year":"2018","journal-title":"Ann Allergy Asthma Immunol"},{"key":"2021121013100234800_B17","volume-title":"The Health Care Data Guide: Learning from Data for Improvement","author":"Provost","year":"2011"},{"key":"2021121013100234800_B18","unstructured":"Centers for Disease Control and Prevention. Estimates of flu vaccination coverage among children \u2014 United States, 2017\u201318 flu season. Available at: https:\/\/www.cdc.gov\/flu\/fluvaxview\/coverage-1718estimates-children.htm#figure1. 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