MEDLINE Journals

    Vaccine storage practices in primary care physician offices: assessment and intervention.

    Authors

    Gazmararian JA, Oster NV, Green DC, et al. 

    Institution

    Emory Center on Health Outcomes and Quality, Department of Health Policy and Management, Atlanta, Georgia 30322, USA. jagazma@sph.emory.edu

    Source

    Am J Prev Med 2002 Nov; 23(4) :246-53.

    Abstract

    PURPOSE
    To assess the proportion of primary care physician (PCP) offices meeting vaccine storage guidelines, identify factors associated with low compliance, and evaluate whether a quality improvement (QI) activity improves compliance.
    METHODS
    We examined compliance with guidelines of 721 PCP offices contracted with a national managed care organization in four cities. A QI activity (educational materials, written feedback, and distribution of thermometers) was conducted at baseline and a follow-up assessment occurred within 3 months.
    RESULTS
    Baseline compliance was relatively high, with >80% adherence to most guidelines. For example, 89% of offices had a thermometer; and 83% of temperatures were appropriate. Most units did not have vaccines stored in the door or food/biological materials in the unit (80% and 96%, respectively). Almost all vaccines had not expired. Multivariate analysis indicated that practice location, type of physician, participation in vaccine programs, and using guidelines were associated with compliance. For most of the compliance measures, pediatric offices had the highest compliance. Adherence to guidelines improved after the QI activity; the net change between pre- and post-intervention ranged from +1% to +19%. Measurements most impacted included temperature log posted (19% improvement in refrigerator; 16% improvement in freezer) and no vaccine stored in refrigerator door (14% improvement).
    CONCLUSIONS
    Despite generally high compliance, there are some opportunities for improvement in how PCPs store vaccines. Incorporating an intervention program in existing practice activities can improve storage practices. Further research is needed to determine the possible benefits of targeting interventions to certain types of providers who may be less knowledgeable about recommended guidelines.

    Mesh

    Chi-Square Distribution
    Drug Stability
    Drug Storage
    Guideline Adherence
    Humans
    Logistic Models
    Physicians' Offices
    Primary Health Care
    Quality Indicators, Health Care
    Refrigeration
    Temperature
    Vaccines

    Language

    eng

    Pub Type(s)

    Journal Article Research Support, Non-U.S. Gov't

    PubMed ID

    12406478

    Content Manager
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