Understanding and preventing vaccination errors - 05/03/23
Highlights |
• | Errors can occur at each step of the vaccination process, i.e., prescribing, dispensing, preparation, administration, monitoring, recording in the vaccination record, transport, and storage. |
• | There is partial mastery of vaccine knowledge among health professionals. Knowledge gaps mainly persist concerning live vaccines administered during pregnancy, the lower- or upper-case letters in the diphtheria (D or d) and pertussis (Ca or ca), marketing authorization and dosage for the influenza vaccine, transport of vaccines outside the refrigerator. |
• | Most health professionals mentioned the possibility of writing procedures for the various steps of the vaccine process, but only few of them have actually done it. |
Abstract |
Introduction |
Vaccine-related medication errors can occur at each step of the vaccination process: prescribing, dispensing, preparation, administration, monitoring, transport, and storage. We aimed to describe current knowledge of vaccination-related errors to identify areas for improvement.
Material and methods |
We performed a literature review on PubMed, using MeSH terms, from 1998 to 2020 to identify articles that would illustrate vaccine-related medication errors. We developed a questionnaire for health professionals concerning prescribing, dispensing, or administering vaccines via Facebook, and then identified priority areas for information to reduce vaccine-related medication errors.
Results |
A total of 227 answers were collected from midwives (N = 90), pharmacists or technicians (N = 75), and physicians or interns (N = 62). Practitioners gave wrong answers on live vaccines administered during pregnancy (>10 % of physicians), incorrect acronyms for the DTCaP (diphtheria, tetanus, pertussis, poliomyelitis) vaccine corresponding to branded products (72 % of midwives), lack of marketing authorization knowledge for the influenza vaccine (46 %), duration of vaccine conservation outside of the refrigerator (52 %), or intravenous administration of the rotavirus vaccine (23 %). Most health professionals mentioned the possibility of writing procedures for the various steps of the vaccine process, but only few of them have actually done it (15 % for dispensing/administration versus 61 % for storage). Ten key points for initial or ongoing training of health professionals have been summarized.
Conclusion |
There is partial mastery of vaccine knowledge among health professionals. Our final table presents the most important elements of these results for educating health professionals on potential vaccine-related medication errors.
Le texte complet de cet article est disponible en PDF.Keywords : Vaccination errors, Vaccine, Health professional knowledge, Children
Plan
Vol 53 - N° 2
Article 104641- mars 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?