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Displaying results 25 - 32 of 35
  • Emergency Department Data Quality Best Practices

    Content Type: Abstract

    Data quality for syndromic surveillance extends beyond validating and evaluating syndrome results. Data aggregators and data providers can take additional steps to monitor and ensure the accuracy of the data. In North Carolina,… read more
    … of data elements that should not change, i.e. time of visit, discharge disposition, etc. The aggregate trends monitored (for each hospital) include a) number of visits/day, b) percentage distributions for disposition, … acuity and insurance codes and c) percentage of visits that receive a diagnosis code, percentage that …
  • 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.
    … syn- dromic surveillance queries using raw chief com- plaints to those pre-processed with the Emergency … data warehouse included 813,536 emergency department (ED) visits. The ED records are queried daily with 6 syndrome … METHODS This study analyzed a subset of the 1,000 ED visits which were previously sampled from the 2004 NC BEIPS …
  • Incorporating Wildlife Data into Syndromic Surveillance

    Content Type: Abstract

    The North Carolina Bioterrorism and Emerging Infection Prevention System (NC BEIPS) serves public health users across North Carolina at the local, regional and state levels, providing syndromic surveillance capabilities.  At the state level,… read more
    … generated, providing a line listing of all the syndrome visits that contributed to the flag on that particular date. … PWC since January 1, 2005. During that time, 1377 patient visits representing 109 different species from 20 counties … and out of state have been reported, averaging seven visits per day. The most frequent animal types are birds, …
  • In Search of a Controlled Vocabulary for Emergency Department Chief Complaint: A Comparison of Four Published Chief Complaint Lists

    Content Type: Abstract

    The lack of a standardized vocabulary for recording CC complicates the collection, aggregation, and analysis of CC for any purpose, but especially for real-time surveillance of patterns of illness and injury. The need for a controlled CC vocabulary… read more
    … included them all [1-4]. We used the top 20 ‘Reasons for Visits’ (RFV) from the 2005 Emergency Department Sum- mary … the first 20 RFV so a more extensive evaluation of RFV may have different results. We found: 1) all lists … Med 2001; 8(10):980-989. [5]Schneider, D ‘A Reason for Visit Classification for Ambulatory Care’ US DHEW …
  • Improving Negation Processing in Triage Notes

    Content Type: Abstract

    Emergency Department (ED) triage notes are clinical notes that expand upon the chief complaint, and are included in the AHIC minimum dataset for biosurveillance.1  Clinical notes can improve the accuracy of keyword-based syndromes but require… read more
    … a sample of NC DETECT records that included the 4432 ED visits with triage notes for 11/22/2006 and 11/23/2006. … submitted tri- age notes, which comprised 30% of all visits for those dates. We then manually selected a sample … and type of negation. The final sample included 177 visits con- taining negated terms, from 18 of the 19 NC DE- …
  • Reverse Engineering of a Syndrome Definition for Influenza

    Content Type: Abstract

    We report here on the use of the North Carolina Bioterrorism and Emerging Infection Prevention System (NC BEIPS, www.ncbeips.org) to reverse engineer a syndrome definition of influenza for the purpose of influenza surveillance.
    … illness, a combination of evidence of fever and another com- mon symptom was used. The frequency of this com- bination of symptoms in patients diagnosed with in- … RESULTS Mention of the term “flu” in either the chief com- plaint (CC) or triage note (TN) field (without evi- …
  • 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
    … 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 visits meeting the syndrome definition for FRI were …
  • 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
    … generated, providing a line listing of all the syndrome visits that contributed to the flag on that particular date. …