Improving Immunization Rates in Private Pediatric Practices Through Physician Leadership

Article Abstract:

A quality improvement initiative may improve childhood immunization rates in private practices. This process involves choosing a well-respected physician to lead a task force that recommends changes in immunization practice and monitors progress. This process was used in 10 private pediatric practices in Norfolk and Virginia Beach, VA over an 18-month period. The average immunization rate at 2 years of age increased from 51% to 70.7%. Immunization rates at 3 months increased from 75.% to 89%, and at one year, rates increased from 73% to 85%. Other changes included improved record keeping and screening for immunizations at every visit.

United States, Evaluation, Total quality management, Immunization of children, Immunization

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Prediabetic markers in children with stress hyperglycemia

Article Abstract:

Stress hyperglycemia does not appear to predict development of diabetes in children. Stress hyperglycemia is an abnormal increase in blood sugar in response to serious injury or illness. Researchers followed 30 children with high blood sugar as measured in blood drawn for evaluation of illness or injury. They compared outcomes with 30 ill or injured children with normal blood sugar and 30 healthy children. Children with stress hyperglycemia did not show increased prevalence of immunologic or genetic markers for impending diabetes, and no child developed diabetes within the ensuing 31 to 36 months.

Risk factors, Physiological aspects, Juvenile diabetes, Hyperglycemia, Diabetes in children

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The purpose and functions of immunization information systems within health care organizations

Article Abstract:

Immunization information systems may improve the effectiveness and efficiency of childhood immunization programs. About 25% of children under 3 years are underimmunized. Computer-based systems can provide important documentation, reporting and tracking of the vaccination of patients. The systems may also remind parents and physicians of upcoming vaccinations, preventing missed opportunities to vaccinate when a child is at the doctor's office. Established systems have increased immunization rates where they have been implemented.

Medicine, Information services, Vaccination of children, Vaccination, Information storage and retrieval systems

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