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The goals of compliant vaccination rates for children in the pediatric department represent a performance gap when the number of actual vaccinations do not meet the desired targets which are a measure of performance expectations. Targets within this microsystem are set by regional Kaiser Permanente quality goals, in addition to The American Academy of Pediatrics according to a standard schedule for childhood immunizations. When families choose to vaccinate off-schedule, or not at all, they run the risk of medication errors when they do immunize as catch-up schedules are complex, not to mention the risk of their children acquiring diseases that can be prevented through vaccinations. However, this performance gap should not undermine the opportunity

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