Israelite Hospital Albert Einstein
The goal of this trial is to reduce the general error related to vaccines and immunizations (composited on secondary endpoint), after 11 moths of folow-up after cluster randomization and stepped wedge on primary care on brazilian public health. The main questions it aims to answer are: 1. To evaluate the effectiveness of a multifaceted intervention in vaccination rooms in reducing vaccination errors. 2. To describe the rate of adverse events following immunization (AEFI) and the associated factors.
Vaccines
Vaccines Adverse Reaction
Vaccine Practice
Usual Care
Multifaceted intervention
NA
Researchers will compare two times in a Stepped Wedge design: 1. Usual Care :All sites will follow the standard practices for vaccine management and immunization in health units with vaccination rooms during 1 month. All sites will be randomized into 11 steps (corresponding to the number of stages required to complete the 12-month study). At each step, 8 clusters (each containing one immunization service within a primary care facility) will receive the intervention." 2. Multifaceted Strategy :\*This time will implement a multifaceted quality improvement and process strategy composed of: * Video-based training on vaccine management. * Development of an optimized Cold Chain Manual, streamlining guidelines for vaccine handling. * Technical documents providing comprehensive guidance on the appropriate management of vaccines and their respective immunization schedules. * Technical documentsaddressing the management of errors identified post-vaccination and offering recommendations for public guidance.
| Study Type : | INTERVENTIONAL |
| Estimated Enrollment : | 72 participants |
| Masking : | NONE |
| Primary Purpose : | HEALTH_SERVICES_RESEARCH |
| Official Title : | A Multifaceted Intervention on Reducing Immunization Errors: a Pragmatic, Stepped-wedge, Cluster Randomized Trial |
| Actual Study Start Date : | 2025-07-03 |
| Estimated Primary Completion Date : | 2026-07-31 |
| Estimated Study Completion Date : | 2026-12-30 |
Information not available for Arms and Intervention/treatment
| Ages Eligible for Study: | |
| Sexes Eligible for Study: | ALL |
| Accepts Healthy Volunteers: | 1 |
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Not yet recruiting
Israelite Hospital Albert Einstein
São Paulo, Brazil,