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The cutoffs for orders received were selected based on the expectation that ideally in mid-November, providers expected to have received 80% or more of vaccine ordered, and 40% is the minimum we judged to permit some vaccination programs to hold clinics and vaccinate in offices.
Delays in shipments of vaccine ordered by the state of California have led Representative Gary A. Condit, a Democrat, to ask the General Accounting Office to investigate.
Order not accepted meant that the vaccine company or distributor would not, or could not accept the order because the type of vaccine ordered was not available from that supplier.
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The simple change in the EMR system and the influenza vaccine ordering were low on the priority list for the IT support group.
However, the degree of increased vaccine ordering far exceeded that which was anticipated and there was a one week time period when patients were unable to receive vaccination prior to discharge due to lack of availability.
More to the point, antiviral drugs and vaccines ordered today would not be available for months.
They are characterized as operating at the "top of their license" or scope of practice (e.g., medication reconciliation, foot examinations, vaccines, ordering of routine laboratory tests, downloading glucometer data, and telephonic follow-up).
No one realised that this prompt led to a blind alley no vaccine was ordered and no vaccine was given.
A plot of the number of vaccine doses ordered for 2011 2012 versus vaccines used in 2010 2011 shows a tight correlation (figure 2A).
In our own medical center, we have now instituted a "Best Practice Alert" in our electronic medical record that alerts the physician when a HBsAg test is ordered within 14 days of a HBV vaccine order and advises delaying HBsAg testing until at least 15 days after vaccination.
Children in several states, including New York, received nasal spray vaccines Tuesday — shots are due to begin next week — and all 50 states have started sending vaccine orders.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com