The integration of barcode scanning technology into Canadian public health immunization settings.
Identifieur interne : 000241 ( Main/Exploration ); précédent : 000240; suivant : 000242The integration of barcode scanning technology into Canadian public health immunization settings.
Auteurs : Jennifer A. Pereira [Canada] ; Susan Quach [Canada] ; Jemila S. Hamid [Canada] ; Sherman D. Quan [Canada] ; Amanda Jane Diniz [Canada] ; Robert Van Exan [Canada] ; Jeffrey Malawski [Canada] ; Michael Finkelstein [Canada] ; Salim Samanani [Canada] ; Jeffrey C. Kwong [Canada]Source :
- Vaccine [ 1873-2518 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- instrumentation : Electronic Data Processing.
- methods : Electronic Data Processing.
- standards : Vaccination.
- Canada, Electronic Health Records, Feasibility Studies, Humans, Immunization Programs.
Abstract
BACKGROUND
As part of a series of feasibility studies following the development of Canadian vaccine barcode standards, we compared barcode scanning with manual methods for entering vaccine data into electronic client immunization records in public health settings.
METHODS
Two software vendors incorporated barcode scanning functionality into their systems so that Algoma Public Health (APH) in Ontario and four First Nations (FN) communities in Alberta could participate in our study. We compared the recording of client immunization data (vaccine name, lot number, expiry date) using barcode scanning of vaccine vials vs. pre-existing methods of entering vaccine information into the systems. We employed time and motion methodology to evaluate time required for data recording, record audits to assess data quality, and qualitative analysis of immunization staff interviews to gauge user perceptions.
RESULTS
We conducted both studies between July and November 2012, with 628 (282 barcoded) vials processed for the APH study, and 749 (408 barcoded) vials for the study in FN communities. Barcode scanning led to significantly fewer immunization record errors than using drop-down menus (APH study: 0% vs. 1.7%; p=0.04) or typing in vaccine data (FN study: 0% vs. 5.6%; p<0.001). There was no significant difference in time to enter vaccine data between scanning and using drop-down menus (27.6s vs. 26.3s; p=0.39), but scanning was significantly faster than typing data into the record (30.3s vs. 41.3s; p<0.001). Seventeen immunization nurses were interviewed; all noted improved record accuracy with scanning, but the majority felt that a more sensitive scanner was needed to reduce the occasional failures to read the 2D barcodes on some vaccines.
CONCLUSION
Entering vaccine data into immunization records through barcode scanning led to improved data quality, and was generally well received. Further work is needed to improve barcode readability, particularly for unit-dose vials.
DOI: 10.1016/j.vaccine.2013.11.015
PubMed: 24252700
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Pereira</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Ontario, Toronto, Canada. Electronic address: jennifer.pereira@oahpp.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Ontario, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Quach, Susan" sort="Quach, Susan" uniqKey="Quach S" first="Susan" last="Quach">Susan Quach</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Ontario, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Ontario, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Hamid, Jemila S" sort="Hamid, Jemila S" uniqKey="Hamid J" first="Jemila S" last="Hamid">Jemila S. Hamid</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Quan, Sherman D" sort="Quan, Sherman D" uniqKey="Quan S" first="Sherman D" last="Quan">Sherman D. Quan</name><affiliation wicri:level="1"><nlm:affiliation>Trillium Health Partners, Mississauga, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Trillium Health Partners, Mississauga</wicri:regionArea><wicri:noRegion>Mississauga</wicri:noRegion></affiliation></author><author><name sortKey="Diniz, Amanda Jane" sort="Diniz, Amanda Jane" uniqKey="Diniz A" first="Amanda Jane" last="Diniz">Amanda Jane Diniz</name><affiliation wicri:level="1"><nlm:affiliation>Public Health Agency of Canada, Ottawa, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Agency of Canada, Ottawa</wicri:regionArea><wicri:noRegion>Ottawa</wicri:noRegion></affiliation></author><author><name sortKey="Van Exan, Robert" sort="Van Exan, Robert" uniqKey="Van Exan R" first="Robert" last="Van Exan">Robert Van Exan</name><affiliation wicri:level="1"><nlm:affiliation>Sanofi Pasteur Limited, North York, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Sanofi Pasteur Limited, North York</wicri:regionArea><wicri:noRegion>North York</wicri:noRegion></affiliation></author><author><name sortKey="Malawski, Jeffrey" sort="Malawski, Jeffrey" uniqKey="Malawski J" first="Jeffrey" last="Malawski">Jeffrey Malawski</name><affiliation wicri:level="1"><nlm:affiliation>Merck Canada Inc., Kirkland, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Merck Canada Inc., Kirkland</wicri:regionArea><wicri:noRegion>Kirkland</wicri:noRegion></affiliation></author><author><name sortKey="Finkelstein, Michael" sort="Finkelstein, Michael" uniqKey="Finkelstein M" first="Michael" last="Finkelstein">Michael Finkelstein</name><affiliation wicri:level="1"><nlm:affiliation>Toronto Public Health, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Public Health, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Samanani, Salim" sort="Samanani, Salim" uniqKey="Samanani S" first="Salim" last="Samanani">Salim Samanani</name><affiliation wicri:level="1"><nlm:affiliation>OKAKI Health Intelligence, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>OKAKI Health Intelligence, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Kwong, Jeffrey C" sort="Kwong, Jeffrey C" uniqKey="Kwong J" first="Jeffrey C" last="Kwong">Jeffrey C. Kwong</name><affiliation wicri:level="4"><nlm:affiliation>Public Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Institute for Clinical Evaluative Sciences, Toronto, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Canada; University Health Network, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Institute for Clinical Evaluative Sciences, Toronto, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Canada; University Health Network, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">Vaccine</title><idno type="eISSN">1873-2518</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Canada</term><term>Electronic Data Processing (instrumentation)</term><term>Electronic Data Processing (methods)</term><term>Electronic Health Records</term><term>Feasibility Studies</term><term>Humans</term><term>Immunization Programs</term><term>Vaccination (standards)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canada</term><term>Dossiers médicaux électroniques</term><term>Humains</term><term>Programmes de vaccination</term><term>Vaccination (normes)</term><term>Études de faisabilité</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electronic Data Processing</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electronic Data Processing</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Canada</term><term>Electronic Health Records</term><term>Feasibility Studies</term><term>Humans</term><term>Immunization Programs</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Canada</term><term>Dossiers médicaux électroniques</term><term>Humains</term><term>Programmes de vaccination</term><term>Études de faisabilité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>As part of a series of feasibility studies following the development of Canadian vaccine barcode standards, we compared barcode scanning with manual methods for entering vaccine data into electronic client immunization records in public health settings.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Two software vendors incorporated barcode scanning functionality into their systems so that Algoma Public Health (APH) in Ontario and four First Nations (FN) communities in Alberta could participate in our study. We compared the recording of client immunization data (vaccine name, lot number, expiry date) using barcode scanning of vaccine vials vs. pre-existing methods of entering vaccine information into the systems. We employed time and motion methodology to evaluate time required for data recording, record audits to assess data quality, and qualitative analysis of immunization staff interviews to gauge user perceptions.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We conducted both studies between July and November 2012, with 628 (282 barcoded) vials processed for the APH study, and 749 (408 barcoded) vials for the study in FN communities. Barcode scanning led to significantly fewer immunization record errors than using drop-down menus (APH study: 0% vs. 1.7%; p=0.04) or typing in vaccine data (FN study: 0% vs. 5.6%; p<0.001). There was no significant difference in time to enter vaccine data between scanning and using drop-down menus (27.6s vs. 26.3s; p=0.39), but scanning was significantly faster than typing data into the record (30.3s vs. 41.3s; p<0.001). Seventeen immunization nurses were interviewed; all noted improved record accuracy with scanning, but the majority felt that a more sensitive scanner was needed to reduce the occasional failures to read the 2D barcodes on some vaccines.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Entering vaccine data into immunization records through barcode scanning led to improved data quality, and was generally well received. Further work is needed to improve barcode readability, particularly for unit-dose vials.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24252700</PMID><DateCompleted><Year>2014</Year><Month>10</Month><Day>29</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-2518</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>23</Issue><PubDate><Year>2014</Year><Month>May</Month><Day>13</Day></PubDate></JournalIssue><Title>Vaccine</Title><ISOAbbreviation>Vaccine</ISOAbbreviation></Journal><ArticleTitle>The integration of barcode scanning technology into Canadian public health immunization settings.</ArticleTitle><Pagination><MedlinePgn>2748-55</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2013.11.015</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0264-410X(13)01532-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">As part of a series of feasibility studies following the development of Canadian vaccine barcode standards, we compared barcode scanning with manual methods for entering vaccine data into electronic client immunization records in public health settings.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Two software vendors incorporated barcode scanning functionality into their systems so that Algoma Public Health (APH) in Ontario and four First Nations (FN) communities in Alberta could participate in our study. We compared the recording of client immunization data (vaccine name, lot number, expiry date) using barcode scanning of vaccine vials vs. pre-existing methods of entering vaccine information into the systems. We employed time and motion methodology to evaluate time required for data recording, record audits to assess data quality, and qualitative analysis of immunization staff interviews to gauge user perceptions.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We conducted both studies between July and November 2012, with 628 (282 barcoded) vials processed for the APH study, and 749 (408 barcoded) vials for the study in FN communities. Barcode scanning led to significantly fewer immunization record errors than using drop-down menus (APH study: 0% vs. 1.7%; p=0.04) or typing in vaccine data (FN study: 0% vs. 5.6%; p<0.001). There was no significant difference in time to enter vaccine data between scanning and using drop-down menus (27.6s vs. 26.3s; p=0.39), but scanning was significantly faster than typing data into the record (30.3s vs. 41.3s; p<0.001). Seventeen immunization nurses were interviewed; all noted improved record accuracy with scanning, but the majority felt that a more sensitive scanner was needed to reduce the occasional failures to read the 2D barcodes on some vaccines.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Entering vaccine data into immunization records through barcode scanning led to improved data quality, and was generally well received. Further work is needed to improve barcode readability, particularly for unit-dose vials.</AbstractText><CopyrightInformation>Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>Jennifer A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Public Health Ontario, Toronto, Canada. Electronic address: jennifer.pereira@oahpp.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Quach</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Public Health Ontario, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamid</LastName><ForeName>Jemila S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Quan</LastName><ForeName>Sherman D</ForeName><Initials>SD</Initials><AffiliationInfo><Affiliation>Trillium Health Partners, Mississauga, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Diniz</LastName><ForeName>Amanda Jane</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Public Health Agency of Canada, Ottawa, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Exan</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Sanofi Pasteur Limited, North York, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malawski</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Merck Canada Inc., Kirkland, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Finkelstein</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Toronto Public Health, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Samanani</LastName><ForeName>Salim</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>OKAKI Health Intelligence, Edmonton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwong</LastName><ForeName>Jeffrey C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Public Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Institute for Clinical Evaluative Sciences, Toronto, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Canada; University Health Network, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) Program Delivery and Evaluation Group</CollectiveName></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Vaccine</MedlineTA><NlmUniqueID>8406899</NlmUniqueID><ISSNLinking>0264-410X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001330" MajorTopicYN="N">Electronic Data Processing</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057286" MajorTopicYN="N">Electronic Health Records</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017589" MajorTopicYN="Y">Immunization Programs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Automatic data processing</Keyword><Keyword MajorTopicYN="N">Feasibility studies</Keyword><Keyword MajorTopicYN="N">Human</Keyword><Keyword MajorTopicYN="N">Immunization</Keyword><Keyword MajorTopicYN="N">Influenza</Keyword><Keyword MajorTopicYN="N">Vaccines</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>08</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>10</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>11</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>11</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>11</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>10</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24252700</ArticleId><ArticleId IdType="pii">S0264-410X(13)01532-6</ArticleId><ArticleId IdType="doi">10.1016/j.vaccine.2013.11.015</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Hamilton (Ontario)</li><li>Toronto</li></settlement><orgName><li>Université McMaster</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Pereira, Jennifer A" sort="Pereira, Jennifer A" uniqKey="Pereira J" first="Jennifer A" last="Pereira">Jennifer A. Pereira</name></noRegion><name sortKey="Diniz, Amanda Jane" sort="Diniz, Amanda Jane" uniqKey="Diniz A" first="Amanda Jane" last="Diniz">Amanda Jane Diniz</name><name sortKey="Finkelstein, Michael" sort="Finkelstein, Michael" uniqKey="Finkelstein M" first="Michael" last="Finkelstein">Michael Finkelstein</name><name sortKey="Hamid, Jemila S" sort="Hamid, Jemila S" uniqKey="Hamid J" first="Jemila S" last="Hamid">Jemila S. Hamid</name><name sortKey="Kwong, Jeffrey C" sort="Kwong, Jeffrey C" uniqKey="Kwong J" first="Jeffrey C" last="Kwong">Jeffrey C. Kwong</name><name sortKey="Malawski, Jeffrey" sort="Malawski, Jeffrey" uniqKey="Malawski J" first="Jeffrey" last="Malawski">Jeffrey Malawski</name><name sortKey="Quach, Susan" sort="Quach, Susan" uniqKey="Quach S" first="Susan" last="Quach">Susan Quach</name><name sortKey="Quan, Sherman D" sort="Quan, Sherman D" uniqKey="Quan S" first="Sherman D" last="Quan">Sherman D. Quan</name><name sortKey="Samanani, Salim" sort="Samanani, Salim" uniqKey="Samanani S" first="Salim" last="Samanani">Salim Samanani</name><name sortKey="Van Exan, Robert" sort="Van Exan, Robert" uniqKey="Van Exan R" first="Robert" last="Van Exan">Robert Van Exan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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