What question did this study set out to answer?

The aim is to increase pneumococcal vaccination uptake in a residency clinic using quality improvement strategies.

May 20, 2026BMJ Open QualityOpen Access

Improving pneumococcal vaccination uptake in a residency clinic: a case-inspired QI initiative aligned with updated CDC guidelines

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Randomized trial shows modest increases in pneumococcal vaccination rates among older adults, indicating potential for sustainable improvements.

The aim is to increase pneumococcal vaccination uptake in a residency clinic using quality improvement strategies.
Implemented Plan-Do-Study-Act cycles from September 2024 to February 2025
Introduced multiple system-level interventions such as pre-queuing vaccine orders and patient education
Tracked vaccination rates bi-weekly using electronic medical records
Vaccination rates among adults aged ≥65 years increased from 62.7% to 64.3%
After expanding eligibility to adults ≥50, rates initially dropped to 39.9% but improved to 44.1%
An absolute improvement of 4.2% was achieved by the intervention's end, meeting run chart shift criteria.

BISTA et al. (2026) studied this question.

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Randomized trial shows modest increases in pneumococcal vaccination rates among older adults, indicating potential for sustainable improvements.