Health
Emergency Department COVID-19 Vaccines for Unhospitalized Patients
UC Davis Healthof emergency department Researching an emergency department-based COVID-19 vaccination program for homeless patients. The team recently evaluation Evaluate the feasibility of such a program.
later U.S. Food and Drug Administration authorized emergency use of COVID-19 vaccine In public settings, emergency medical services have implemented strategies to better reach homeless patients. The Emergency Department (ED) Best practice alerts to the electronic medical record of these patients. This prompted the provider to order her COVID-19 vaccine for eligible patients. This was his ED-based COVID-19 vaccination program for the first time ever.
“Homelessness poses multiple challenges that can exacerbate and amplify the spread of COVID-19,” he said. James F. Holmes, Executive Vice Chair in Emergency Medicine. “Since many unhoused patients do not have access to traditional outpatient services, there is little opportunity for this population to discuss and offer her COVID-19 vaccination.”
according to evaluation by Centers for Disease Control and Preventionindividuals living in homeless shelters are experiencing the highest COVID-19 positivity and mortality rates in the country.
In addition, many people experiencing homelessness are older or have underlying medical conditions that put them at increased risk of severe illness related to COVID-19.
“For many people who do not have insurance and do not own a home, ED is one of the only health care services available to them,” Holmes explained. visits are often the best opportunities to deliver critical public health services such as vaccination.”
For many uninsured and homeless people, ED is one of the only sources of health care available to them. Therefore, their visit to the ED is often the best opportunity to provide critical public health services such as vaccination. ”
research data
Researchers analyzed data from June 10 to August 26, 2021. During this period, he encountered 19,992 unique patients and he encountered 25,871 patients in the emergency department. Homeless he had 1,474 visits to 1,085 unique patients (his 6% of the total ED population). Best Her Practice Alert notified providers in her 1,046 encounters with homeless patients (71% of her total encounters with homeless patients). The alert was accepted in her 79 encounters (8%).
As a result, 43 homeless patients were vaccinated with best practice alerts, and 18 homeless patients were vaccinated without best practice alert prompts. In overview, 76 patients with no history of homelessness were vaccinated with ED.
“Although the evaluation showed that it is feasible to implement emergency department-based COVID-19 vaccination in unhospitalized patients, the use of best practice It had minimal impact on whether we ordered or not,” Holmes said. “Further research is needed to explore the usefulness of ED as a COVID-19 vaccination setting. will be able to.”
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