Home
|
About IAC
|
Contact
|
A-Z Index
|
Donate
|
Shop
|
SUBSCRIBE
Immunization Action Coalition
IAC Home
|
Technically Speaking
|
December 2015
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
Preventive Medicine: Be Sure Your Staff Is Not Making Any of These Frequently Reported Vaccine Administration Errors
Published December 2015
Your patients count on you to administer vaccines safely, effectively and correctly. Unfortunately, vaccine administration errors occur too frequently in medical practices. Most of the time, these errors go unreported, or even worse, may not be recognized. Inadequate training in vaccine administration is a core problem for many medical practices.
To help elucidate the extent of the problem and to identify solutions, the Institute for Safe Medication Practices (ISMP), a nonprofit patient safety organization devoted to preventing medication errors and safe medication use, in collaboration with the California Department of Public Health, launched its Vaccine Errors Reporting Program (VERP) in September 2012. The VERP online error reporting system was created to allow healthcare professionals and patients to confidentially provide information about vaccine errors. By collecting and quantifying this information, ISMP determined it could better advocate at a national level for modifications (e.g., changes to similar vaccine names and labeling) that could reduce the likelihood of vaccine errors in the future. The information also could be used to teach about vaccine errors and how to avoid them.
VERP received 1,256 confidential reports of vaccine errors from September 2012 through June 2015. When these reports were broken down into categories, the two most commonly reported types of errors were (1) administering vaccine to the wrong-age patient and (2) administering the wrong vaccine to a patient. These two categories alone accounted for almost half of all reported errors.
What else can lead to vaccine administration errors? The frequency of errors reported to VERP is reflected in the percentages below:
Wrong age: 24 percent
Wrong vaccine: 24 percent
Extra dose: 10 percent
Too large a dose: 10 percent
Expired vaccine: 8 percent
Wrong interval: 7 percent
Component omission: 5 percent
Underdose: 5 percent
Wrong patient: 4 percent
Wrong route: 3 percent
To avoid vaccine errors in your practice setting, please make use of the resources below to train staff in how to avoid them. Remember, your efforts to apply preventive health measures for your patients include prevention of vaccine administration errors!
From ISMP
Confusion Abounds! 2-year Summary of the ISMP National Vaccine Errors Reporting Program VERP summary report (Part 1)
Recommendations for Practitioners to Prevent Vaccine Errors Part 2: Analysis Of ISMP Vaccine Errors Reporting Program (VERP)
Vaccine Error Reporting Program (VERP) website
About the Institute for Safe Medication Practices
From IAC
Administering Vaccines: Dose, Route, Site, and Needle Size
How to Administer Intramuscular and Subcutaneous Injections
How to Administer Intradermal, Intranasal, and Oral Vaccinations
Training DVD: Immunization Techniques: Best Practices with Infants, Children, and Adults for a nominal charge with bulk purchase discounts
Guide to Contraindications and Precautions to Commonly Used Vaccines
Vaccines with Diluents: How to Use Them
More Clinic Resources: Administering Vaccines
More Clinic Resources: Storage and Handling of Vaccines
From CDC
Injection safety Web page
ACIP General Recommendations on Immunizations
Vaccine Administration chapter, Epidemiology and Prevention of Vaccine Preventable Diseases, 13th edition, 2015
Provider's Role: Importance of Vaccine Administration and Vaccine Storage & Handling
Vaccine Administration Web page
Recommended and Minimum Ages and Intervals Between Doses of Routinely Recommended Vaccines
Slide set: Vaccine Administration: Frequent Errors and Prevention Strategies
Hibbs, BF, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015 Jun 22;33(28):3171-8.
Notes from the Field: Rotavirus Vaccine Administration Errors — United States, 2006–2013 (MMWR, 2014, 63(4):81)
Notes from the Field: Reports of Expired Live Attenuated Influenza Vaccine Being Administered — United States, 2007Ė2014 (MMWR, 2014, 63 (35):773)
Where to Report Vaccine Errors
ISMP Vaccine Error Reporting Program (VERP) website
CDC's Vaccine Adverse Events Reporting System
2015 ISSUES >> view all
DECEMBER 2015
Preventive Medicine: Be Sure Your Staff Is Not Making Any of These Frequently Reported Vaccine Administration Errors
NOVEMBER 2015
IAC's Needle Tips Just Released Online!
OCTOBER 2015
IAC's Free Workshops on Using Standing Orders
SEPTEMBER 2015
New Initiative About Giving Second Dose of Meningococcal (MCV4)
AUGUST 2015
Is Your Practice Following Federal Law When Using Vaccine Information Statements?
JULY 2015
Screening Patients for Contraindications and Precautions to Vaccination
JUNE 2015
Suggestions About Finding Old Immunization Records
MAY 2015
Just Released! Fifth Edition of "The Vaccine Handbook: A Practical Guide for Clinicians"
APRIL 2015
Important New Vaccine Recommendations from CDC's February 2015 ACIP Meeting
MARCH 2015
New Issues of Needle Tips and Vaccinate Adults Now Available
FEBRUARY 2015
CDCís 2015 Immunization Schedules for Children and Adults, and IACís Concise Summaries of Recommendations are Free and Ready to Use
JANUARY 2015
Do You Know Which Vaccines are Specifically Recommended for Healthcare Personnel in Your Workplace?
 
This page was updated on December 23, 2015
 
- Guide to immunize.org -
A-Z INDEX
ABOUT IAC
ACIP RECOMMENDATIONS
ADULT VACCINATION
ADULT VACCINATION GUIDE
ADULT VACCINATION
RESOURCES LIBRARY (AVRL)
ASK THE EXPERTS
Combination Vaccines
Diphtheria
Hepatitis A
Hepatitis B
Question of the Week
Vaccine Storage and Handling
What's New
>> view all
BIRTH DOSE GUIDEBOOK
BOOKS & PERIODICALS
CALENDAR
CDC SCHEDULES
CLINIC RESOURCES
Administering Vaccines
Documenting Vaccination
Coding & Billing
Scheduling Vaccination
Screening for Contraindications
Storage & Handling
Vaccine Recommendations
>> view all
COALITIONS
COCOONING
CONTINUING EDUCATION
CONTRIBUTE TO IAC
DEAR COLLEAGUE LETTER
HPV VACCINE
DEAR COLLEAGUE LETTER
MCV4 DOSE #2
DIRECTORY OF RESOURCES
DISEASES & VACCINES
Diphtheria
Hepatitis A
Hepatitis B
Influenza
Varicella
>> view all
DONATE TO IAC
EDUCATIONAL MATERIALS
FAQs
FDA PRODUCT APPROVALS
GIVE BIRTH TO THE END OF
HEP B
HANDOUTS FOR PATIENTS &
STAFF
Administering Vaccines
Adult Vaccination
Documenting Vaccinations
Medical Management
Parent Handouts
Patient Schedules
Questions & Answers
Recommendations
Screening Questionnaires
Standing Orders
Storage & Handling
Supplies Checklist
Talking with Parents
Temperature Logs
Translations
Vaccine Index
Vaccine Reactions
>> view all
HEPATITIS B BIRTH DOSE
HONOR ROLLS
HepB Birth Dose
Influenza Vaccination for HCP
IAC EXPRESS
IMAGES
IMMUNIZATION TECHNIQUES DVD
IMMUNIZATION TOPICS
Adoption
Healthcare Personnel
Mandates & Exemptions
Pregnancy
Tattoos & Piercings
>> view all
 
LAMINATED SCHEDULES
NEEDLE TIPS
NEWS & INFORMATION
OFFICIAL RELEASES
ACIP
CDC
FDA
>> view all
PACKAGE INSERTS
PHARMACISTS
PHOTOS
POCKET GUIDES
POWERPOINT SLIDE SETS
PRESS ROOM
PROTECT NEWBORNS
FROM HEP B
PUBLICATIONS
IAC Express
Needle Tips
Vaccinate Adults
THE PURPLE BOOK
QUESTION OF THE WEEK
REGISTRIES
RESOURCE DIRECTORY
SCHOOL-LOCATED VACCINATION
SHOP IAC
Immunization Techniques DVD
Laminated Schedules
Patient Record Cards
The Vaccine Handbook
>> view all
SITE MAP
SLIDE SETS
STATE INFORMATION
State Websites
State Laws
State Immunization Managers
>> view all
SUBSCRIBE
SUPPORT IAC
TECHNICALLY SPEAKING
TRANSLATE FOR IAC
TRAVEL (INTERNATIONAL)
UNPROTECTED PEOPLE REPORTS
Chickenpox
Diphtheria
Hepatitis A
Hepatitis B
>> view all
VACCINATE ADULTS
VACCINE CONCERNS
Adjuvants & Ingredients
Alternative Medicine
Autism
Importance of Vaccination
>> view all
THE VACCINE HANDBOOK
VACCINE INFORMATION STATEMENTS
Translations
Vaccine Index
>> view all
VACCINE POLICY & LICENSURE
ACIP
FDA
WHO
>> view all
VACCINE SAFETY
VACCINES & DISEASES
VIDEOS (VIDEO OF THE WEEK)
WHAT'S NEW OR UPDATED AT IAC
Handouts
VISs
Web Sections
>> view all
 
Immunization Action Coalition  •  2550 University Avenue West  •  Suite 415 North  •  Saint Paul, Minnesota  •  55114
tel 651-647-9009  •  fax 651-647-9131
 
 
 
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.