Missed vaccination opportunities (MOV) are a negative indication of the quality of care provided to children visiting health institutions. It also adds to a decrease in total vaccination coverage. Although there is an increasing interest in using quality improvement (QI) in complicated health systems to enhance health outcomes, the extent to which this strategy has been utilized to solve MOV is unknown. To examine the degree to which QI has been utilized in health institutions to minimize MOV, researchers performed a scoping review using Arksey and O’Malley’s methodology. The review proceeded in five stages, as follows: (1) defining the research issue; (2) locating relevant studies; (3) choosing the research; (4) charting data; and (5) compiling, summarizing, and reporting results Electronic databases and gray literature were used in the search method. A total of 12 literature on QI initiatives addressing MOV were found. Eleven of the manuscripts were published, while one was presented at a conference. All of the QI projects disclosed were carried out in the United States, with the bulk taking place between 2014 and 2018. 45 change concepts aimed at providers, clients, and the health system were employed in these initiatives. 

This study provided critical evidence on the application of QI in health care institutions to minimize MOV. Furthermore, the findings indicate that there has been an increase in interest in using this technique to treat MOV in recent years. However, there was no literature identified in low- and middle-income nations, particularly in Sub-Saharan Africa.

Reference: https://www.tandfonline.com/doi/full/10.1080/21645515.2019.1600988