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  1. Clark, Rebecca Culver PhD, RN
  2. Carter, Kimberly Ferren PhD, RN
  3. Jackson, Julie RN
  4. Hodges, Deborah BSN, RN


The purpose of this quality improvement study was to explore the impact of audit and feedback on the pneumococcal immunization rate for at-risk adults in ambulatory settings. Study findings support the hypothesis that timely, individualized audit and feedback can have a positive impact on immunization rate; generalized feedback that did not provide actionable information did not have the same impact. The difference between the interventions was significant, [chi]2 (1, N = 1993) = 124.7, P <.001.