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Technically Speaking
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December 2012
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
Technically Speaking is a monthly column written by IAC’s Executive Director Deborah Wexler, MD. The column is featured in The Children's Hospital of Philadelphia Vaccine Education Center’s (VEC's) monthly e-newsletter for healthcare professionals. Technically Speaking columns cover practical topics in immunization delivery such as needle length, vaccine administration, cold chain, and immunization schedules.
Check out a recent issue of Vaccine Update for Healthcare Providers. The VEC e-newsletter keeps providers up to date on vaccine-related issues and includes reviews of recently published journal articles, media recaps, announcements about new resources, and a regularly updated calendar of events.
TECHNICALLY SPEAKING
A New Program for Reporting Vaccine Errors
Published December 2012
Over the years, the Immunization Action Coalition has received hundreds of questions about vaccination procedural errors and what to do about them or where to report them. Some common errors include administering the wrong vaccine or the wrong dose; giving a vaccine before the minimum age or interval; administering the vaccine by the wrong route or at the wrong anatomic site; reconstituting a vaccine improperly; using expired or improperly handled vaccine; or even vaccinating the wrong patient. The Institute for Safe Medication Practices recently launched an online website to report vaccine errors.
ISMP is a nonprofit, federally-certified patient safety organization, respected worldwide as the premier resource for medication safety information. Founded in 1994, ISMP works closely with healthcare practitioners and institutions, regulatory agencies, consumers and professional organizations to provide education about medication errors and prevention.
With the assistance of the California Department of Public Health, ISMP developed the ISMP Vaccine Error Reporting Program (VERP). VERP was created to allow healthcare professionals to report vaccine errors anonymously; ISMP guarantees confidentiality concerning the information it receives. The purpose of VERP is to capture the unique causes and consequences of vaccine-related errors. By collecting and quantifying information about these errors, ISMP will be better able to advocate for changes in vaccine names, labeling or other appropriate modifications that could reduce the likelihood of vaccine errors in the future.
The reporting system asks for detailed information about the occurrence, including:
A description of what went wrong
Identification of any known causes or contributing factors
How the event was discovered or intercepted
Outcome for the patient(s) involved
The system also requests that users share their recommendations for prevention of similar errors.
VERP is not to be confused with VAERS, the Vaccine Adverse Events Reporting System. VAERS, a national vaccine safety surveillance program co-sponsored by the Centers for Disease Control and Prevention and the Food and Drug Administration, is intended to be the location for reporting adverse events that occur following the administration of a vaccine to a patient. VAERS reports should be submitted regardless of whether or not the reporter believes the adverse event was vaccine-related. Although healthcare professionals have sometimes reported vaccine administration errors to VAERS in the past, the new VERP system provides a more logical location for these reports, allowing for a clear separation between reporting of adverse events in a patient (VAERS) from procedural errors that may or may not result in adverse events (VERP). Of course, both VAERS and VERP may be used for the same event when the situation warrants it.
2012 ISSUES >> view all
DECEMBER 2012
A New Program for Reporting Vaccine Errors
NOVEMBER 2012
CDC Publishes FAQs about New Vaccine Storage and Handling Guidelines
OCTOBER 2012
New Recommendations for the Use of Pneumococcal Vaccines in Adults with Certain Health Conditions
SEPTEMBER 2012
One Dose or Two? How Many Doses of Influenza Vaccine Do Children Need in the 2012-13 Season?
AUGUST 2012
CDC Recommendations for Use of Tdap Are Now Simpler! Everyone Age 11 and Older Needs a Dose
JULY 2012
Recording Vaccinations What is Required by Federal Law?
JUNE 2012
Responding to Requests for Personal Belief Exemptions Some Helpful Resources
MAY 2012
Try These Free Email Services to Stay Up to Date on Immunization Information
APRIL 2012
Guidance for Preventing Fainting and Associated Injuries after Vaccination
MARCH 2012
Minimum Ages and Minimum Intervals Between Doses of Vaccines in a Series – Why Does It Matter?
FEBRUARY 2012
Visit EZIZ.org for Practical Tools on Vaccine Administration, Storage and Handling
 
This page was reviewed on January 30, 2013
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 6NH23IP22550) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.