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Displaying results 145 - 152 of 440
  • Effective Use of Laboratory Data for Monitoring Population Health

    Content Type: Abstract

    Effective public health response to emerging infectious diseases, natural disasters, and bioterrorism requires access to real-time, accurate information on disease patterns and healthcare utilization. The ESSENCE surveillance… read more
    … consolidated. Test results could not be monitored due to lack of stan- dardized reporting, so only test orders were … Practice patterns and laboratory test/outpatient visit associations vary by region, so monitoring may be most …
  • 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 … relevant facilities. Their responses can involve sending back data to fill in gaps, amending their internal data …
  • Health Effects of LA county Wildfires in October 2007

    Content Type: Abstract

    Determine if poor air quality resulting from wildfires could be measured in the general population by monitoring smoke-related respiratory Emergency Department (EDs) visits.
    … week of November to further quantify the change in ED visit frequency resulting from the poor air quality. RESULTS … include potential syndrome misclassification due to the lack of definitive diagnosis data for most of the EDs, the …
  • 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
    … were then manu- ally abstracted on the day of each index visit for all information required to establish … of acute respiratory tract infections in adults: back- ground, specific aims, and methods. (2001). Ann Intern …
  • Use of Final Diagnosis Data for Surveillance of Respiratory Syncytial Virus

    Content Type: Abstract

    The BioSense system receives patient level clinical data from > 370 hospitals and 1100 ambulatory care Departments of Defense and Veterans Affairs medical facilities. Visits are assigned as appropriate to 78 sub-syndromes… read more
    … We could not de-duplicate DoD patient visits due to lack of a longitudinal patient identifier. We analyzed ICD-9 … with a period of latency between the time of the patient visit and when the data are available to BioSense; however, …
  • Using ESSENCE to Track a Gastrointestinal Outbreak in a Homeless Shelter in Miami-Dade County, 2008

    Content Type: Abstract

    Although Electronic Surveillance System for the Early Notification of Community Based Epidemics (ESSENCE) provides tools to detect a significant alert regarding an unusual public health event, combining that information with … read more
    … zip code, hospital and time of emergency department (ED) visit to explore a potential outbreak. If clustering is … 2008, three small clusters by resident zip code and ED visit time were detected in a southern Miami-Dade County … staff contacted the Director of the shelter and a site visit was conducted on Wednesday, June 18 by MDCHD Office of …
  • Syndromic Surveillance Climate and Health Guidance Document

    Content Type: Report

    In general, data from public health surveillance can be used for short- and long-term planning and response through retrospective data analysis of trends over time or specific events. Combining health outcome data (e.g., hospitalizations or deaths)… read more
    … designated health outcome. EDs may update individual visit data, providing discharge (i.e., post-visit) diagnosis codes (i.e., diagnosis or external cause … As the diagnosis codes are assigned at the end of the visit when all the information (e.g., laboratory test) is …
  • Analyses of National Syndromic Surveillance Data: Real-Time Hospital, Veterans Affairs (VA) & Department of Defense (DoD) Data

    Content Type: Abstract

    Since July 2004 the BioSense program at the Centers for Disease Control and Prevention (CDC) has received data from DoD military and VA outpatient clinics (not in real time). In January 2006 real-time hospital data (e.g. chief complaints and… read more
    … within 24 hours of discharge were grouped into a single visit. For DoD data, each visit to a facility, regardless of duration since the last dis- charge is considered as one visit. We calculated both the percent of total visits that …