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Abstracts tagged "Quality improvement and vaccines"

  • Abstract Number: 344 • ACR/ARHP Annual Meeting 2018

    Use of Lean Six-Sigma Methodologies to Improve Pneumococcal Vaccination Rates Among Immunocompromised Veterans with Rheumatologic Diseases: A Quality Improvement Project

    Melissa Swee1, Jaime Wilson2 and Bharat Kumar3, 1Transplant Nephrology, University of Iowa, Iowa City, IA, 2Iowa City Veterans Affairs Medical Center, Iowa City, IA, 3Internal Medicine-Division of Immunology, University of Iowa, Iowa City, IA

    Background/Purpose: Pneumonia is a leading cause of morbidity and mortality in the United States among immunocompromised individuals with rheumatologic diseases. Despite the publication of Advisory…
  • Abstract Number: 466 • ACR/ARHP Annual Meeting 2018

    Improving Pneumococcal Vaccination Rates in Childhood-Onset SLE Patients at a Large Tertiary Care Center: The Path to Creating a More Sustainable Model of Vaccination with the Help of EMR

    Saimun Singla and Marietta M. De Guzman, Pediatric Immunology, Allergy and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX

    Background/Purpose: Streptococcus pneumonia is a leading cause of illness in children worldwide and can lead to death in those with an immunosuppressed status. Given the…
  • Abstract Number: 1241 • ACR/ARHP Annual Meeting 2018

    Pneumococcal Vaccination Quality Improvement Initiative within a Rheumatology Clinic at an Academic Medical Center

    Ali Goodson1, Bonita Libman2, Alana Nevares3, Melinda Edwards2 and Amanda Kennedy4, 1Pharmacy, The University of Vermont Medical Center, Burlington, VT, Afghanistan, 2Medicine/Rheumatology, University of Vermont Medical Center, Burlington, VT, 3Rheumatology, University of Vermont Medical Center, Burlington, VT, 4Internal Medicine, University of Vermont Medical Center, Burlington, VT

    Background/Purpose: Rheumatology patients are at an increased risk of infection secondary to immunosuppressive medications used for disease management. However, vaccination is underutilized and rates remain…
  • Abstract Number: 2026 • ACR/ARHP Annual Meeting 2017

    Pneumococcal Vaccination Rates: Improving Safety in Immunocompromised Patients

    Shanley O'Brien and Paul Schmidt, Department of Internal Medicine, Division of Allergy, Clinical Immunology, & Rheumatology, Kansas University Medical Center, Kansas City, KS

    Background/Purpose: Streptococcus pneumoniae is the most common cause of bacterial pneumonia.1 Invasive pneumococcal infections carry a 10% mortality rate, which is higher in the immunosuppressed.1…
  • Abstract Number: 2027 • ACR/ARHP Annual Meeting 2017

    Pre-Visit Planning Improves Pneumococcal Vaccination in Patients with Childhood-Onset Systemic Lupus Erythematosus

    Kelly Wise1, Fatima Barbar-Smiley2, Stephanie Lemle2, Darby MacDonald2, Ohoud AlAhmed3, Evan Mulvihill4, William Cotton2, Monica Ardura2, Cagri Yildirim-Toruner5 and Vidya Sivaraman6,7, 1Pharmacy/Rheumatology, Nationwide Children's Hospital, Columbus, OH, 2Nationwide Children's Hospital, Columbus, OH, 3Pediatrics, Nationwide Children's Hospital, Columbus, OH, 4Pediatrics and Rheumatology, Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 5Rheumatology, Nationwide Children's Hospital, Columbus, OH, 6Pediatric Rheumatology, Nationwide Children's Hospital, Columbus, OH, 7Pediatrics, The Ohio State University, COLUMBUS, OH

    Background/Purpose: Patients with Systemic Lupus Erythematosus (SLE) lupus are up to 13 times more likely to develop invasive pneumococcal infections, resulting in increased morbidity and…
  • Abstract Number: 425 • ACR/ARHP Annual Meeting 2016

    Improving Pneumococcal Vaccination Rates for Immunosuppressed Patients in an Academic Rheumatology Clinic

    Alison Bays1, Renuka R. Nayak2, Sara Murray3, Darlene Young4, Gabriela Schmajuk5, Jinoos Yazdany6 and Andrew Gross7, 1Rheumatology, University of Washington, Seattle, WA, 2Rheumatology, UCSF, San Francisco, CA, 3Medicine, UCSF, San Francisco, CA, 4Medicine/Rheumatology, UCSF, San Francisco, CA, 5San Francisco VA Medical Center, University of California, San Francisco, San Francisco, CA, 6Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 7Medicine/Rheumatology, University of California San Francisco, San Francisco, CA

    Background/Purpose: Patients with autoimmune conditions have higher rates of  pneumococcal disease and they are often immunosuppressed. In 2014, the Advisory Committee on Immunization Practices issued…
  • Abstract Number: 426 • ACR/ARHP Annual Meeting 2016

    Herpes Zoster Vaccine: A Quality Improvement Study in Rheumatoid Arthritis Patients

    Rochella A. Ostrowski and Hina Chaudhry, Rheumatology, Loyola University Medical Center, Maywood, IL

    Herpes Zoster Vaccine: A Quality Improvement Study in Rheumatoid Arthritis Patients Chaudhry, Hina S.; Ostrowski, Rochella A. Division of Allergy, Immunology, and Rheumatology, Loyola University…
  • Abstract Number: 2042 • ACR/ARHP Annual Meeting 2016

    Improving the Overall Pneumococcal Vaccination Rate in Lupus Patients at the Rheumatology Clinic

    Shivani Garg1, Aliza Lipson2 and Katina Tsagaris3, 1Rheumatology, Emory University, Atlanta, GA, 2Rheumatology, EMORY UNIVERSITY, atlanta, GA, 3Rheumatology, EMORY UNIVERSITY, Atlanta, GA

    Background/Purpose: The risk of developing invasive pneumococcal pneumonia is 13 times higher in Lupus patients in comparison with general population. CDC anticipates 7.6 Million-Dollar medical…
  • Abstract Number: 1028 • ACR/ARHP Annual Meeting 2015

    Improving Pneumococcal Immunization Rates Among Immunocompromised Adolescent Patients at a Tertiary Care Children’s Hospital

    Michal Feldon1, Adam Furnier2, Corinne Lehmann3, Bradford Fletcher4, Jack Kues5, Barbara Speer5, Sandy Kramer6, Pamela Morgan7, Lois Siegle8, Rebecca Brady9 and Jennifer L. Huggins6, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Quality Improvement Systems, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Division of adolescent and transitional medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 4Division of pharmacy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 5Continuing medical education department, University of Cincinnati, Cincinnati, OH, 6Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 7Division of gastroenterology, hepatology and nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 8department of gastroenterology, hepatology and nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 9Division of infectious diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Streptococcus pneumoniae is a leading cause of severe infections, including pneumonia and meningitis, among immunocompromised patients. The administration of both the 13-valent pneumococcal conjugate…
  • Abstract Number: 2502 • ACR/ARHP Annual Meeting 2015

    Implementation of New Pneumococcal Vaccination Recommendations in an Academic Rheumatology Clinic

    Alison Bays1, Renuka Nayak2, David I. Daikh3, Jinoos Yazdany4 and Gabriela Schmajuk5, 1Rheumatology, University of Washington, Seattle, WA, 2Rheumatology, UCSF, San Francisco, CA, 3Rheumatology, UCSF/VA Medical Center, San Francisco, CA, 4Rheumatology, UCSF, SF, CA, 5San Francisco VA Medical Center, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Invasive pneumococcal disease is approximately four times more common among patients with rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) compared to healthy counterparts.…
  • Abstract Number: 2503 • ACR/ARHP Annual Meeting 2015

    Improved Pneumococcal Vaccination in Rheumatoid Arthritis Patients in an Urban Academic Rheumatology Clinic

    Swathi B. Reddy1, Una E. Makris2, Kara Prescott3 and E. Blair Solow2, 1Internal Medicine, Division of Rheumatic Diseases, UT Southwestern Medical Center, Dallas, TX, 2Rheumatology, UT Southwestern Medical Center, Dallas, TX, 3Internal Med - Rheumatology, Dallas VA Medical Center, Dallas, TX

    Background/Purpose: Immunosuppressed patients are at higher risk for infections compared to the general population.  Vaccines decrease morbidity and mortality, however vaccination status is not consistently…
  • Abstract Number: 1349 • ACR/ARHP Annual Meeting 2014

    A Decision Support Tool to Improve Herpes Zoster Vaccination Rates Among Patients Starting Biologic Medications

    Sara Schoenfeld1, Eli Miloslavsky1, Weihong Yang1, Naina Rastalsky1, Mollie Carruthers1, Zachary Wallace1, Traci Powers1, Marcy Bolster2 and Deborah Collier1, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital / Harvard Medical School, Boston, MA

    Background/Purpose Herpes zoster infection causes serious morbidity and mortality in immunocompromised patients. Vaccination reduces the risk of zoster infection by up to 40% among patients…
  • Abstract Number: 1345 • ACR/ARHP Annual Meeting 2014

    Improving Pneumococcal Immunization Rates for Patients on Immunosuppressant Medications at an Academic Rheumatology Clinic

    Lauren Dudley1, Stephen Liu2, Krista Merrihew1, Jocelyn Verrill1 and Lin Brown1, 1Rheumatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 2Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH

    Background/Purpose: Patients with rheumatologic diseases are frequently placed on immunosuppressant medications which increase their risk of developing Streptococcus pneumoniae infections.  The Advisory Committee on Immunization…
  • Abstract Number: 1343 • ACR/ARHP Annual Meeting 2014

    A Quality Improvement Initiative to Improve Pneumococcal Vaccination Rates in Immunosuppressed Patients

    Melissa Bussey1 and Rochella A. Ostrowski2, 1Rheumatology, Division of Rheumatology, Loyola University Medical Center, Maywood, IL, 2Rheumatology, Loyola University Medical Center, Maywood, IL

    Background/Purpose    Patients with autoimmune diseases are at increased risk of complicated infections, and immunomodulating treatment regimens further enhance this risk.  Many of these infections,…

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