# Lessons learned from implementation of an electronic decision support tool for hospital-administered pneumococcal vaccinations

## TL;DR

A hospital tool to recommend pneumococcal vaccines improved immunization rates, but many patients still didn't get the right vaccine.

## Contribution

Implementation and evaluation of an electronic decision support tool for pneumococcal vaccination in hospitalized patients.

## Key findings

- Immunization rates increased after implementing the tool.
- Less than half of eligible patients received the correct pneumococcal vaccine.

## Abstract

Experts recommend standing orders for hospital-administered vaccines to improve adult immunization rates. We implemented an admission assessment tool to offer pneumococcal vaccine to eligible hospitalized patients. We retrospectively reviewed vaccines for guideline concordance and found that immunization rates increased but less than half of study patients received the correct vaccine.