Abstract
patients, including Hematology/Oncology patients should be a priority. Improved inpatient Influenza vaccination rates at our facility seemed to be linked to improved staff and physician vaccination rates and heightened staff and patient/family awareness, due to the introduction of the new Influenza (H1N1) strain, after the death of a Hematology/Oncology patient and mandatory masking for those staff and physicians declining to receive vaccine. Live attenuated Influenza vaccine seems to be infrequently administered to pediatric inpatients due to staff unfamiliarity with this vaccine and discomfort with using a live product on the inpatient service. Although the number of vaccines administered increased substantially by 2011, this was still a small percentage of inpatients and is unadjusted for patients who had received Influenza vaccine prior to admission. Standing protocols, electronic medical record reminders and linkage to computerized vaccine registries should help in this regard and may further reduce missed opportunities.
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