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Quality improvement in travel medicine: a programme for yellow fever vaccination centres in England, Wales and Northern Ireland.
Qual Prim Care. 2011; 19(6):391-8.QP

Abstract

BACKGROUND

The National Travel Health Network and Centre (NaTHNaC), a United Kingdom public health body, is responsible for designating nearly 3500 Yellow Fever Vaccination Centres (YFVCs) in England, Wales and Northern Ireland (EWNI). In 2005, NaTHNaC established a programme of registration, training, clinical standards and audit for YFVCs following the mandate of International Health Regulations (IHR, 2005).

ASSESSMENT OF PROBLEM

Administration of yellow fever (YF) vaccine is complex because of the changing epidemiology of YF and the risk of rare, severe adverse events following vaccination. Additionally, there is little formal assessment of providers of travel medicine, particularly in the area of YF vaccination. In 2004, prior to introducing their programme, NaTHNaC sent a questionnaire to all YFVCs in England to assess their practice. This highlighted a need for training and institution of standards to reinforce best practice in vaccination and knowledge about YF.

STRATEGIES FOR CHANGE

In 2005, NaTHNaC introduced its programme for all YFVCs. It was expected that training, adherence to standards and access to resources would lead to increased confidence and consistency of practice by YF vaccine providers.

EFFECTS OF CHANGE

In 2009, a questionnaire was sent to all YFVCs in EWNI to evaluate the impact of the NaTHNaC programme. Among respondents who attended NaTHNaC training 95.8% of respondents indicated that it improved their confidence about YF vaccination. Furthermore, 68.5% of centres made changes to their practice, and improved adherence to core standards was observed. NEXT STEPS AND LESSONS LEARNED: The NaTHNaC programme has led to improved standards in YFVCs and increased confidence in health professionals who administer the YF vaccine. Although this has not been tested, it is expected that this will translate to more consistent and better care for the international traveller. Elements of the NaTHNaC programme could be a model for improvement of clinical standards and for other countries as they seek to implement IHR (2005) and improve the practice of travel medicine.

Authors+Show Affiliations

University College, London, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22340901

Citation

Boddington, Nicola L., et al. "Quality Improvement in Travel Medicine: a Programme for Yellow Fever Vaccination Centres in England, Wales and Northern Ireland." Quality in Primary Care, vol. 19, no. 6, 2011, pp. 391-8.
Boddington NL, Simons H, Launders N, et al. Quality improvement in travel medicine: a programme for yellow fever vaccination centres in England, Wales and Northern Ireland. Qual Prim Care. 2011;19(6):391-8.
Boddington, N. L., Simons, H., Launders, N., & Hill, D. R. (2011). Quality improvement in travel medicine: a programme for yellow fever vaccination centres in England, Wales and Northern Ireland. Quality in Primary Care, 19(6), 391-8.
Boddington NL, et al. Quality Improvement in Travel Medicine: a Programme for Yellow Fever Vaccination Centres in England, Wales and Northern Ireland. Qual Prim Care. 2011;19(6):391-8. PubMed PMID: 22340901.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality improvement in travel medicine: a programme for yellow fever vaccination centres in England, Wales and Northern Ireland. AU - Boddington,Nicola L, AU - Simons,Hilary, AU - Launders,Naomi, AU - Hill,David R, PY - 2012/2/21/entrez PY - 2012/2/22/pubmed PY - 2012/3/27/medline SP - 391 EP - 8 JF - Quality in primary care JO - Qual Prim Care VL - 19 IS - 6 N2 - BACKGROUND: The National Travel Health Network and Centre (NaTHNaC), a United Kingdom public health body, is responsible for designating nearly 3500 Yellow Fever Vaccination Centres (YFVCs) in England, Wales and Northern Ireland (EWNI). In 2005, NaTHNaC established a programme of registration, training, clinical standards and audit for YFVCs following the mandate of International Health Regulations (IHR, 2005). ASSESSMENT OF PROBLEM: Administration of yellow fever (YF) vaccine is complex because of the changing epidemiology of YF and the risk of rare, severe adverse events following vaccination. Additionally, there is little formal assessment of providers of travel medicine, particularly in the area of YF vaccination. In 2004, prior to introducing their programme, NaTHNaC sent a questionnaire to all YFVCs in England to assess their practice. This highlighted a need for training and institution of standards to reinforce best practice in vaccination and knowledge about YF. STRATEGIES FOR CHANGE: In 2005, NaTHNaC introduced its programme for all YFVCs. It was expected that training, adherence to standards and access to resources would lead to increased confidence and consistency of practice by YF vaccine providers. EFFECTS OF CHANGE: In 2009, a questionnaire was sent to all YFVCs in EWNI to evaluate the impact of the NaTHNaC programme. Among respondents who attended NaTHNaC training 95.8% of respondents indicated that it improved their confidence about YF vaccination. Furthermore, 68.5% of centres made changes to their practice, and improved adherence to core standards was observed. NEXT STEPS AND LESSONS LEARNED: The NaTHNaC programme has led to improved standards in YFVCs and increased confidence in health professionals who administer the YF vaccine. Although this has not been tested, it is expected that this will translate to more consistent and better care for the international traveller. Elements of the NaTHNaC programme could be a model for improvement of clinical standards and for other countries as they seek to implement IHR (2005) and improve the practice of travel medicine. SN - 1479-1072 UR - https://www.unboundmedicine.com/medline/citation/22340901/full_citation L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=22340901.ui DB - PRIME DP - Unbound Medicine ER -