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A pneumococcal pneumonia and influenza vaccination quality improvement program for women receiving chemotherapy for gynecologic cancers at a major tertiary cancer Centre.
McGinnis, Justin M; Jones, Rebecca; Hillis, Christopher; Kokus, Heather; Thomas, Heidi; Thomas, Jason; Alyafi, Mohammad; Bernard, Laurence; Eiriksson, Lua R; Elit, Lorraine M; Hirte, Hal; Jimenez, Waldo; Reade, Clare J; Kumar Tyagi, Nidhi; Helpman, Limor.
  • McGinnis JM; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada. Electronic address: justin.mcginnis2@vch.ca.
  • Jones R; Michael G DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
  • Hillis C; Department of Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Kokus H; Juravinski Cancer Centre, Hamilton Health Sciences, Hamilton, ON, Canada.
  • Thomas H; Juravinski Cancer Centre, Hamilton Health Sciences, Hamilton, ON, Canada.
  • Thomas J; Juravinski Cancer Centre, Hamilton Health Sciences, Hamilton, ON, Canada.
  • Alyafi M; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Bernard L; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Eiriksson LR; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Elit LM; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Hirte H; Department of Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Jimenez W; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Reade CJ; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Kumar Tyagi N; Department of Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
  • Helpman L; Division of Gynecologic Oncology, McMaster University, Juravinski Hospital & Cancer Centre, Hamilton, ON, Canada.
Gynecol Oncol ; 161(1): 236-243, 2021 04.
Article in English | MEDLINE | ID: covidwho-1060086
ABSTRACT

OBJECTIVE:

International guidelines recommend pneumococcal pneumonia and influenza vaccination for all patients with solid organ malignancies prior to initiating chemotherapy. Baseline vaccination rates (March 2019) for pneumococcal pneumonia and influenza at our tertiary cancer centre were 8% and 40%, respectively. The aim of this study was to increase the number of gynecologic chemotherapy patients receiving pneumococcal and influenza vaccinations to 80% by March 2020.

METHODS:

We performed an interrupted time series study using structured quality improvement methodology. Three interventions were introduced to address vaccination barriers an in-house vaccination program, a staff education campaign, and a patient care bundle (pre-printed prescription, information brochure, vaccine record booklet). Process and outcome data were collected by patient survey and pharmacy audit and analyzed on statistical process control charts.

RESULTS:

We identified 195 eligible patients. Pneumococcal and influenza vaccination rates rose significantly from 5% to a monthly mean of 61% and from 36% to a monthly mean of 67%, respectively. The 80% target was reached for both vaccines during one or more months of study. The in-house vaccination and staff education programs were major contributors to the improvement, whereas the information brochure and record booklet were minor contributors.

CONCLUSIONS:

Three interventions to promote pneumococcal and influenza vaccination among chemotherapy patients resulted in significantly improved vaccination rates. Lessons learned about promoting vaccine uptake may be generalizable to different populations and vaccine types. In response to the global COVID-19 pandemic, initiatives to expand the program to all chemotherapy patients at our centre are underway.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Pneumococcal / Influenza Vaccines / Immunization Programs / Pneumococcal Vaccines / Influenza, Human / Quality Improvement / Genital Neoplasms, Female Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Topics: Long Covid / Vaccines Limits: Female / Humans Country/Region as subject: North America Language: English Journal: Gynecol Oncol Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Pneumococcal / Influenza Vaccines / Immunization Programs / Pneumococcal Vaccines / Influenza, Human / Quality Improvement / Genital Neoplasms, Female Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Topics: Long Covid / Vaccines Limits: Female / Humans Country/Region as subject: North America Language: English Journal: Gynecol Oncol Year: 2021 Document Type: Article