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Displaying results 9 - 16 of 31
  • Assessing the Potential Impact of the BioSense 24-hour Rule Using NC DETECT ED Data

    Content Type: Abstract

    Per a frequently asked questions document on the ISDS website, approximately two thirds of HL7 records received in BioSense do not provide a Visit ID. As a result, BioSense data processing rules use the patient ID, facility ID and earliest date in… read more
    … of HL7 records received in BioSense do not provide a Visit ID. As a result, BioSense data processing rules use … ID occur within the same 24-hour time frame, those two visits are combined into one visit and the earliest date … unique visit IDs and these are used to identify unique visits in NC DETECT. These data are also sent twice daily to …
  • Optimization of Linkage between North Carolina EMS and ED Data: EMS Naloxone Cases

    Content Type: Abstract

    The opioid overdose crisis has rapidly expanded in North Carolina (NC), paralleling the epidemic across the United States. The number of opioid overdose deaths in NC has increased by nearly 40% each year since 2015.1 Critical to preventing overdose… read more
    … with naloxone administration to the corresponding ED visit assists in understanding the health outcomes of these … administration in 2017 were successfully linked to an ED visit record. This study explored methods to improve EMS and … with naloxone administration to the corresponding ED visit assists in understanding the health outcomes of these …
  • COPD-Related ED Visits in North Carolina: Hospitalizations and Return Visits

    Content Type: Abstract

    COPD is a prevalent chronic disease among older adults; exacerbations often result in ED visits and subsequent hospital admissions. A portion of such patients return to the ED within a few days or weeks. In this study, we investigated patterns… read more
    … among older adults; exacerbations often result in ED visits and subsequent hospital admissions. A portion of such … patterns of hospital admissions and short-term return visits resulting from COPD-related ED visits. Objective To … among older adults; exacerbations often result in ED visits and subsequent hospital admissions. A portion of such …
  • Identifying Emergency Department Care in the Year Prior to Suicide Death

    Content Type: Abstract

    Suicide is a leading cause of mortality in the United States, causing about 45,000 deaths annually. Research suggests that universal screening in health care settings may be beneficial for prevention, but few studies have combined detailed suicide… read more
    … Research suggests that universal screening in health care settings may be beneficial for prevention, but few … : To identify potential emergency department (ED) visits prior to suicide deaths in North Carolina (NC) and … Research suggests that universal screening in health care settings may be beneficial for prevention, but few …
  • Informing Public Health Prevention in NC Using Falls Surveillance Data

    Content Type: Abstract

    Falls are a leading cause of fatal and nonfatal injury in NC. As the size of the older adult population is predicted to increase over the next few decades, it is likely that the incidence of falls-related morbidity and mortality will increase in… read more
    … hospital discharge, and emergency department (ED) visit data, to inform falls prevention activities in North … hospital discharge, and emergency department (ED) visit data, to inform falls prevention activities in North …
  • Evaluation of Emergency Medical Text Processor for Pre-Processing Chief Complaint Data for Syndromic Surveillance

    Content Type: Abstract

    The goal of this project is to compare automated syn-dromic surveillance queries using raw chief complaints to those pre-processed with the Emergency Medical Text Processor (EMT-P) system.
    … daily with 6 syndrome reports, using chief complaint (CC) and, when available, triage note (TN) and tem- perature … written in standard query language (SQL) and search raw CC and TN text for keywords (e.g., myalgia, fever), … System (UMLS) [2]. Cleaning modules address free text CC variability such as acronyms, truncations and …
  • North Carolina Bioterrorism and Emerging Infection Prevention System

    Content Type: Abstract

    NC BEIPS is a system designed and developed by the NC Division of Public Health (DPH) for early detection of disease and bioterrorism outbreaks or events. It analyzes emergency department (ED) data on a daily basis from 33 (29%) EDs in North… read more
    … (NLP) system, is applied to clean ED chief complaint (CC) data daily. Aggregate reports with cleaned CC data are now available, and evaluation of the use of … generated, providing a line listing of all the syndrome visits that contributed to the flag on that particular date. …
  • Evolution of a Syndromic Surveillance Case Definition

    Content Type: Abstract

    In North Carolina, select hospital emergency departments have been submitting data since 2003 for use in syndromic surveillance. These data are collected, stored, and parsed into syndrome categories by the North Carolina… read more
    … Clinical Modification (ICD-9-CM) codes, chief complaint (CC), initial recorded temperature, and ED nurse triage note … zoster were not included. From the 813,536 ED visits in the database for the calendar year 2004, all visits with the ICD-9-CM code of 052.0-052.9 (CP) and all …