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Improving Maternal RSV Vaccine Uptake: A Multifactorial Quality Improvement Approach
Ukaj, Adrianna Pelski, Jean
Ukaj, Adrianna
Pelski, Jean
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Abstract
Respiratory syncytial virus (RSV) is a leading cause of infant hospitalization in the United States and is associated with long-term respiratory complications, making prevention during pregnancy a critical public health endeavor. Maternal RSV vaccination between 32-36 weeks gestation has been shown to significantly reduce severe RSV-related outcomes in infants; however, uptake remains suboptimal due to limited provider recommendation, low patient awareness, and vaccine safety concerns. This quality improvement project aimed to increase maternal RSV vaccination rates among eligible patients through provider education, implementation of a standardized EHR documentation template, and planned standing orders between September 1, 2025, and December 13, 2025, with a stretch goal of 90% uptake. Pre- and post-intervention Likert-scale surveys assessed provider confidence and presumptive language practices following an educational session, and retrospective chart review evaluated vaccination rates and EHR template utilization at the 30-week prenatal visit. Maternal RSV vaccination rates increased to 58.4% during the intervention period, representing a meaningful improvement though not meeting the aspirational target. Provider surveys demonstrated high baseline confidence and frequent use of proactive communication; confidence slightly decreased while presumptive language usage remained stable post-education. The standardized EHR template was used in 69.8% of eligible visits and was associated with a 72.7% vaccination rate when utilized. These findings support the value of multifactorial, system-level interventions to improve prenatal RSV vaccine uptake in clinical practice.
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2026-04-28
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Ukaj_Manuscript 3-15.docx (1).pdf
Adobe PDF, 1.8 MB
- Embargoed until 2027-04-28