Contact tracing with a real-time location system: A case study of increasing relative effectiveness in an emergency department
| Autor: | Nibras El-Sherif, M. Susan Hallbeck, Vickie K. Ernste, Casey M. Clements, Gomathi Marisamy, Andy Boggust, Thomas R. Hellmich, David M. Nestler, Kyle R. Koenig, Kalyan S. Pasupathy |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Adolescent Whooping Cough Epidemiology 030501 epidemiology Tertiary care Article Disease Outbreaks Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Pertussis Computer Systems Medical Staff Hospital medicine Electronic Health Records Humans 030212 general & internal medicine Child Infectious disease business.industry Health Policy Public Health Environmental and Occupational Health Electronic medical record Infant Location systems Emergency department medicine.disease Surgery Real-time locating system Infectious Diseases Child Preschool Medical emergency Contact Tracing Emergency Service Hospital 0305 other medical science business Contact tracing |
| Zdroj: | American Journal of Infection Control |
| ISSN: | 0196-6553 |
| DOI: | 10.1016/j.ajic.2017.08.014 |
| Popis: | Highlights • Contact tracing is an essential step in infectious disease control and prevention. • Using Electronic medical record (EMR) is challenging and misses a number of potential exposures. • Real time location system (RTLS) doubled the potential exposures list for pertussis disease beyond the conventional method of EMR-based contact identification • RTLS is more efficient and timely in the process of contact tracing. • Further studies with larger sample size are needed to confirm the findings. Background Contact tracing is the systematic method of identifying individuals potentially exposed to infectious diseases. Electronic medical record (EMR) use for contact tracing is time-consuming and may miss exposed individuals. Real-time location systems (RTLSs) may improve contact identification. Therefore, the relative effectiveness of these 2 contact tracing methodologies were evaluated. Methods During a pertussis outbreak in the United States, a retrospective case study was conducted between June 14 and August 31, 2016, to identify the contacts of confirmed pertussis cases, using EMR and RTLS data in the emergency department of a tertiary care medical center. Descriptive statistics and a paired t test (α = 0.05) were performed to compare contacts identified by EMR versus RTLS, as was correlation between pertussis patient length of stay and the number of potential contacts. Results Nine cases of pertussis presented to the emergency department during the identified time period. RTLS doubled the potential exposure list (P |
| Databáze: | OpenAIRE |
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