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Displaying results 337 - 344 of 704
  • 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 …
  • The use of NC DETECT ED data to examine heat-related illness

    Content Type: Abstract

    NC DETECT provides near-real-time statewide surveillance capacity to local, regional and state level users across NC with twice daily data feeds from 119 (99%) emergency departments (EDs), hourly updates from the statewide poison center, and daily… read more
    … line-listing data were used to assign each HRI ED visit to one of the following categories: … negligence, no A/C, substance abuse or undefined. Visit categories were examined by age group over the study …
  • Improving Public Health Surveillance methods via Smart Home technologies

    Content Type: Abstract

    Public health surveillance relies on surveys and/or self-reported data collection, both of which require manpower, time commitment, and financial resources from public health agencies and participants. The survey results can quickly become outdated… read more
    … which can be used to monitor activity in the home (i.e. lack of travel indicates sedentary behaviour), as well as … which can be used to monitor activity in the home (i.e. lack of travel indicates sedentary behaviour), as well as …
  • Effective Collaboration Models for Statiscians and Public Health Departments

    Content Type: Abstract

    Public health departments need enhanced surveillance tools for population monitoring, and external researchers have expertise and methods to provide these tools. However, collaboration with potential solution developers and students in academia,… read more
    … departments must respond to successive crises and often lack the time for requirements analysis and technical … departments must respond to successive crises and often lack the time for requirements analysis and technical …