Automated Laboratory Reporting of Infectious Diseases in a Climate of Bioterrorism
Published Date:Sep 2003
Source:Emerg Infect Dis. 9(9):1053-1057.
Keywords:Automatic Data Processing
Clinical Laboratory Information Systems
Computerized Data Collection, Disease Notification, Epidemiologic Methods, Medical Records
Population Surveillance, Public Health, Public Policy, New Media
Funding:U18-HS10399/HS/AHRQ HHS/United States
Description:While newly available electronic transmission methods can increase timeliness and completeness of infectious disease reports, limitations of this technology may unintentionally compromise detection of, and response to, bioterrorism and other outbreaks. We reviewed implementation experiences for five electronic laboratory systems and identified problems with data transmission, sensitivity, specificity, and user interpretation. The results suggest a need for backup transmission methods, validation, standards, preserving human judgment in the process, and provider and end-user involvement. As illustrated, challenges encountered in deployment of existing electronic laboratory reporting systems could guide further refinement and advances in infectious disease surveillance.
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