Clinical trial of standing-orders strategies to increase the inpatient influenza vaccination rate

Infect Control Hosp Epidemiol. 2009 Jan;30(1):86-8. doi: 10.1086/593121.


We compared strategies to increase the rate of influenza vaccination. A written standing-orders policy that enabled nurses to vaccinate patients was compared with augmentation of the standing-orders policy with either electronic opt-out orders for physicians or electronic reminders to nurses. Use of opt-out orders yielded the highest vaccination rate (12% of patients), followed by use of nursing reminders (6%); use of the standing-orders policy alone was ineffective.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Clinical Protocols
  • Female
  • Guideline Adherence*
  • Humans
  • Influenza Vaccines / administration & dosage*
  • Influenza, Human / prevention & control*
  • Male
  • Middle Aged
  • Reminder Systems*
  • Vaccination* / standards
  • Vaccination* / statistics & numerical data


  • Influenza Vaccines