Displaying results 1 - 4 of 4
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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… that these areas received only 15% of total outpatient visits. Because of this seemingly favorable signal-to-noise … that an ARI surveillance system that focused on urgent visits would outperform one that monitored all outpatient … respiratory infections: should we include all outpatient visits or focus on urgent care areas? H Zheng1,2, T … -
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… care to over 25% of Denver, CO. All outpatient clinic visits with ICD-9 chickenpox codes (052) between 1/1/06 thru … on intake. 37% had varicella vaccine at a prior clinic visit. Chief complaints included rash (62%), chickenpox … (3%). 81% were prescribed medications during their visit, including dyphenhydramine or hydroxyzine (43%), … -
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… Medicine, University of Utah, Salt Lake City, UT, USA E-mail: sdelisle@umaryland.edu Introduction Microorganisms … ARI symptoms)) to EMR entries surrounding all outpatient visits (n!4.1 million) during our study period (January … were then manu- ally abstracted on the day of each index visit for all information required to establish … -
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… 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 … The NegEx algorithm for text-processing detected 2,338 visits with non-negated vomiting or diarrhea or abdominal …