Skip to main content

Displaying results 1 - 8 of 13
  • Surveillance for acute respiratory infections: should we include all outpatient visits or focus on urgent care areas?

    Content Type: Abstract

    A comprehensive electronic medical record (EMR) represents a rich source of information that can be harnessed for epidemic surveillance. At this time, however, we do not know how EMR-based data elements should be combined to … read more
    … (ARI) were seen in the emergency room or other urgent care areas, but that these areas received only 15% of total outpatient visits. Because of this seemingly favorable signal-to-noise … we include all outpatient visits or focus on urgent care areas? H Zheng1,2, T Siddiqui1,2, and S DeLisle1,2 …
  • Application of an Automated Surveillance System to Evaluate Outpatient Care of Pneumonia

    Content Type: Abstract

    With economic pressures to shift the care of community-acquired pneumonia (CAP) to the ambulatory setting, there is a need to ensure safety of outpatients with CAP. The use of claims data alone remains the primary strategy for identifying these… read more
    … With economic pressures to shift the care of community-acquired pneumonia (CAP) to the ambulatory … system may assist in evaluating the quality of outpatient care for CAP. 4 views Submitted by teresa.hamby@d… on Thu, … With economic pressures to shift the care of community-acquired pneumonia (CAP) to the ambulatory …
  • Clinical decision support at the time of an e-prescription can sustainably decrease unwarranted use of antibiotics for acute respiratory infections

    Content Type: Abstract

    Microorganisms resistant to antibiotics (ABX) increase the mortality, morbidity and costs of infections. In the absence of a drug development pipeline that can keep pace with the emerging resistancemechanisms, these organisms are expected… read more
    … promotes the development of bacterial resistance, health care providers have long been urged to avoid … and S DeLisle1,2 1Veterans Administration Maryland Health Care System, Baltimore, MD, USA; 2Departments of Medicine … and introduced on January 2003 at the Maryland VA site (Intervention) but not at the Utah VA site (control). …
  • Detection of a Vaccine-preventable Reportable Disease: Comparison of Physician Reporting vs. an Electronic Syndromic Surveillance System

    Content Type: Abstract

    Communicable diseases are underreported by physicians, especially diseases without laboratory tests. The goals of our study were to determine reporting levels for clinical chickenpox, describe clinical data elements common to chickenpox, and assess… read more
    … The study took place in a healthcare system that provides care to over 25% of Denver, CO. All outpatient clinic visits … on intake. 37% had varicella vaccine at a prior clinic visit. Chief complaints included rash (62%), chickenpox … were hives (4%), sores (3%), bites (6%), blisters (3%), bumps (4%), "red" (7%) and/or lesion(s) (3%). 81% were …
  • Automated Detection of GI Syndrome using Structured and Non-Structured Data from the VA EMR

    Content Type: Abstract

    Objective We performed a gold-standard manual chart review for gastro-intestinal syndrome to evaluate automated detection models based on both structured and non-structured data extracted from the VA … read more
    … MSc3, Matthew H Samore, MD 1 1VA Salt Lake City Health Care system and the Department of Medicine, University of … METHODS We randomly sampled 15,377 of 253,818 outpatient visits to the VA Maryland Health Care system (VAMHCS) and … Additionally, we searched for documentation on the index visit day of fever > 37.8ºC. RESULTS The ESSENCE and …
  • Using NLP on VA Electronic Medical Records to Facilitate Epidemiologic Case Investigations

    Content Type: Abstract

    A major goal of biosurveillance is the timely detection of an infectious disease outbreak. Once a disease has been identified, another very important goal is to find all known cases of the disease to assist public health… read more
    … MSc5,Matthew H. Samore, MD1,2,6 1VA Salt Lake City Health Care System, 2 Internal Medicine, University of Utah School … Pittsburgh, Pittsburgh, Pennsylvania, 4VA Maryland Health Care System and University of Maryland School of Medicine, …
  • Text-Processing of VA Clinical Notes to Improve Case Detection Models for Influenza-like Illness

    Content Type: Abstract

    Objective There were two objectives of this analysis. First, apply text-processing methods to free-text clinician notes extracted from the VA electronic medical record for automated detection of Influenza-Like-Illness. Secondly,… read more
    … MSc4, Matthew H Samore, MD 1 1VA Salt Lake City Health Care system and the Department of Medicine, University of … Bloomberg School of Public Health, 3VA Maryland Health Care System and University of Maryland, School of Medicine, … 15,377 outpatient encounters from the VA Maryland Health Care system (VAMHCS) and VA Salt Lake City Health Care …
  • Identifying Contextual Features to Improve the Performance of an Influenza-Like Illness Text Classifier

    Content Type: Abstract

    To understand the types of false positive cases identified by an Influenza-like illness (ILI) text classifier by measuring the prevalence of ILI-related concepts that are negated, hypothetical, include explicit mention of temporality, experienced by… read more
    … Wendy W. Chapman, PhD3 1VA Salt Lake City Health Care System, 2Department of Internal Medicine, University of … Pittsburgh, Pittsburgh, Pennsylvania, 4VA Maryland Health Care System and University of Maryland School of Medicine, …