Abstract：
OBJECTIVE: To support immunisation providers through a cold chain management audit.
METHODS: An electronic audit survey using the National Vaccine Storage Guidelines as a gold standard was developed for general practice (GP) and community pharmacy. It included automated feedback, with individualised support from a clinical nurse specialist as required. Responses were analysed to determine the proportion of providers meeting criteria in four categories: procedures, refrigerators and equipment, temperature monitoring and emergency storage.
RESULTS: Of 818 providers invited, 420 GPs (89.6%) and 276 pharmacies (82%) responded. Over 70% met all procedural and emergency storage criteria. Although most providers (98.1% GPs, 97.0% pharmacies) used a data logger, the proportion measuring at 5-minute intervals, reviewing data logger printouts weekly and manually recording minimum and maximum temperatures was lower. In total, 58% of providers required follow-up by the clinical nurse specialist, most regarding the need for equipment.
CONCLUSIONS: An electronic audit enabled public health to engage with a large number of immunisation providers. Most reported high compliance with the national guidelines although opportunities for education were identified and actioned.
CONCLUSIONS: Electronic solutions can support public health units to engage with providers to ensure vaccines remain effective and wastage is limited.
METHODS: An electronic audit survey using the National Vaccine Storage Guidelines as a gold standard was developed for general practice (GP) and community pharmacy. It included automated feedback, with individualised support from a clinical nurse specialist as required. Responses were analysed to determine the proportion of providers meeting criteria in four categories: procedures, refrigerators and equipment, temperature monitoring and emergency storage.
RESULTS: Of 818 providers invited, 420 GPs (89.6%) and 276 pharmacies (82%) responded. Over 70% met all procedural and emergency storage criteria. Although most providers (98.1% GPs, 97.0% pharmacies) used a data logger, the proportion measuring at 5-minute intervals, reviewing data logger printouts weekly and manually recording minimum and maximum temperatures was lower. In total, 58% of providers required follow-up by the clinical nurse specialist, most regarding the need for equipment.
CONCLUSIONS: An electronic audit enabled public health to engage with a large number of immunisation providers. Most reported high compliance with the national guidelines although opportunities for education were identified and actioned.
CONCLUSIONS: Electronic solutions can support public health units to engage with providers to ensure vaccines remain effective and wastage is limited.
摘要：
目的：通过冷链管理审核支持免疫接种提供者。
方法：针对一般实践（GP）和社区药房开发了使用《国家疫苗储存指南》作为金标准的电子审核调查。它包括自动反馈，根据需要提供临床护士专家的个性化支持。对答复进行了分析，以确定符合以下四类标准的提供者比例：程序，冰箱和设备，温度监测和应急存储。
结果：在邀请的818个提供者中，420家全科医生（89.6%）和276家药店（82%）做出了回应。超过70%满足所有程序和紧急存储标准。尽管大多数提供商(98.1%GPs,97.0%的药店)使用了数据记录器，每隔5分钟测量的比例，每周检查数据记录器打印输出，手动记录最低和最高温度较低。总的来说,58%的提供者需要临床护士专家的随访，最重要的是对设备的需求。
结论：电子审计使公共卫生能够与大量的免疫接种提供者合作。大多数人报告说高度遵守了国家准则，尽管确定了教育机会并采取了行动。
结论：电子解决方案可以支持公共卫生单位与供应商合作，以确保疫苗保持有效并限制浪费。
方法：针对一般实践（GP）和社区药房开发了使用《国家疫苗储存指南》作为金标准的电子审核调查。它包括自动反馈，根据需要提供临床护士专家的个性化支持。对答复进行了分析，以确定符合以下四类标准的提供者比例：程序，冰箱和设备，温度监测和应急存储。
结果：在邀请的818个提供者中，420家全科医生（89.6%）和276家药店（82%）做出了回应。超过70%满足所有程序和紧急存储标准。尽管大多数提供商(98.1%GPs,97.0%的药店)使用了数据记录器，每隔5分钟测量的比例，每周检查数据记录器打印输出，手动记录最低和最高温度较低。总的来说,58%的提供者需要临床护士专家的随访，最重要的是对设备的需求。
结论：电子审计使公共卫生能够与大量的免疫接种提供者合作。大多数人报告说高度遵守了国家准则，尽管确定了教育机会并采取了行动。
结论：电子解决方案可以支持公共卫生单位与供应商合作，以确保疫苗保持有效并限制浪费。
