the international council on medical & care compunetics


December, 2014


Construction of a Multisite DataLink Using Electronic Health Records for the Identification, Surveillance, Prevention, and Management of Diabetes Mellitus: The SUPREME-DM Project

Nichols GA et al, Preventing Chronic Disease, 9

Electronic health record (EHR) data enhance opportunities for conducting surveillance of diabetes. The objective of this study was to identify the number of people with diabetes from a diabetes DataLink developed as part of the SUPREME-DM (SUrveillance, PREvention, and ManagEment of Diabetes Mellitus) project, a consortium of 11 integrated health systems that use comprehensive EHR data for research.
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12 June 2012 | No Comments »
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Variability in the detection and monitoring of chronic patients in primary care according to what is registered in the electronic health record

Aizpuru F et al, Family Practice, 2012

The electronic health record (EHR) allows a detailed study of the primary care consultations and assessment of variability among physicians regarding the implementation of practices for prevention, detection and monitoring of chronic diseases.

To describe the variability in the detection and surveillance of chronic conditions in primary care.
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19 March 2012 | No Comments »
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Google Flu Trends: Correlation With Emergency Department Influenza Rates and Crowding Metrics

Dugas AF et al, Clinical Infectious Diseases, 2012

Google Flu Trends (GFT) is a novel Internet-based influenza surveillance system that uses search engine query data to estimate influenza activity and is available in near real time. This study assesses the temporal correlation of city GFT data to cases of influenza and standard crowding indices from an inner-city emergency department (ED).
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11 January 2012 | No Comments »
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Creating an Oversight Infrastructure for Electronic Health Record-Related Patient Safety Hazards

Singh H et al, Journal of Patient Safety, 2011

Electronic health records (EHRs) have potential quality and safety benefits. However, reports of EHR-related safety hazards are now emerging. The Office of the National Coordinator for Health Information Technology recently sponsored an Institute of Medicine committee to evaluate how health information technology use affects patient safety. In this article, we propose the creation of a national EHR oversight program to provide dedicated surveillance of EHR-related safety hazards and to promote learning from identified errors, close calls, and adverse events. The program calls for data gathering, investigation/analysis, and regulatory components. The first 2 functions will depend on institution-level EHR safety committees that will investigate all known EHR-related adverse events and near-misses and report them nationally using standardized methods.
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15 November 2011 | No Comments »
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Evaluation of natural language processing from emergency department computerized medical records for intra-hospital syndromic surveillance

Gerbier S et al, BMC Medical Informatics and Decision Making, 11(1)

The identification of patients who pose an epidemic hazard when they are admitted to a health facility plays a role in preventing the risk of hospital acquired infection. An automated clinical decision support system to detect suspected cases, based on the principle of syndromic surveillance, is being developed at the University of Lyon’s Hopital de la Croix-Rousse. This tool will analyse structured data and narrative reports from computerized emergency department (ED) medical records. The first step consists of developing an application (UrgIndex) which automatically extracts and encodes information found in narrative reports. The purpose of the present article is to describe and evaluate this natural language processing system.
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8 August 2011 | No Comments »
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Sharing Data for Public Health Research by Members of an International Online Diabetes Social Network

Weitzman ER et al, PLoS ONE, 6(4)

Surveillance and response to diabetes may be accelerated through engaging online diabetes social networks (SNs) in consented research. We tested the willingness of an online diabetes community to share data for public health research by providing members with a privacy-preserving social networking software application for rapid temporal-geographic surveillance of glycemic control.
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3 May 2011 | No Comments »
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Using Health Information Exchange to Improve Public Health

Shapiro JS et al, American Journal of Public Health, 2011

Public health relies on data reported by health care partners, and information technology makes such reporting easier than ever. However, data are often structured according to a variety of different terminologies and formats, making data interfaces complex and costly. As one strategy to address these challenges, health information organizations (HIOs) have been established to allow secure, integrated sharing of clinical information among numerous stakeholders, including clinical partners and public health, through health information exchange (HIE).
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21 February 2011 | No Comments »
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Automated Surveillance to Detect Postprocedure Safety Signals of Approved Cardiovascular Devices

Resnic FS et al, JAMA, 304(18)

Ensuring the safety of medical devices challenges current surveillance approaches, which rely heavily on voluntary reporting of adverse events. Automated surveillance of clinical registries may provide early warnings in the postmarket evaluation of medical device safety. Objective To determine whether automated safety surveillance of clinical registries using a computerized tool can provide early warnings regarding the safety of new cardiovascular devices.
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11 November 2010 | No Comments »
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Ethics, Information Technology, and Public Health: New Challenges for the Clinician-Patient Relationship

Goodman KW. The Journal of Law, Medicine & Ethics, 38(1)

Increasingly widespread adoption of health information technology tools in clinical care increases interest in ethical and legal issues related to the use of these tools for public health and the effects of these uses on the clinician-patient relationship. It is argued that patients, clinicians, and society have generally uncontroversial duties to support civil society’s public health mission, information technology supports this mission, and the effects of automated and computerized public health surveillance are likely to have little if any effect on the clinician-patient relationship.
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5 April 2010 | No Comments »
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Informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness

Herasevich, Vitaly et al, Mayo Clinic Proceedings, 85(3)

To develop and validate an informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness.
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22 March 2010 | No Comments »
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Data mining on electronic health record databases for signal detection in pharmacovigilance: which events to monitor?

Trifirò, Gianluca et al, Pharmacoepidemiology and Drug Safety, PrePrint

Data mining on electronic health records (EHRs) has emerged as a promising complementary method for post-marketing drug safety surveillance. The EU-ADR project, funded by the European Commission, is developing techniques that allow mining of EHRs for adverse drug events across different countries in Europe. Since mining on all possible events was considered to unduly increase the number of spurious signals, we wanted to create a ranked list of high-priority events.
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21 September 2009 | No Comments »
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Computerized Surveillance for Adverse Drug Events in a Pediatric Hospital

Kilbridge, Peter M. et al, J Am Med Inform Assoc, 16(5)

There are limited data on adverse drug event rates in pediatrics. We describe the implementation and evaluation of an automated surveillance system modified to detect adverse drug events (ADEs) in pediatric patients. We constructed an automated surveillance system to screen admissions to a large pediatric hospital. Potential ADEs identified by the system were reviewed by medication safety pharmacists and a physician and scored for causality and severity.
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13 September 2009 | No Comments »
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The New Sentinel Network — Improving the Evidence of Medical-Product Safety

Platt, Richard et al, N Engl J Med, 361(7)

In 2007, Congress directed the Food and Drug Administration (FDA) to create a new postmarketing surveillance system that will, by 2012, be using electronic health data from 100 million people to prospectively monitor the safety of marketed medical products. This new system is intended to complement existing systems of “spontaneous” adverse-event reporting. In May 2008, the FDA announced the Sentinel Initiative, which would “access the capabilities of multiple, existing data systems (i.e., electronic health record systems, medical claims databases).”
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28 July 2009 | No Comments »
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Syndromic surveillance using ambulatory electronic health records

Hripcsak, George et al, J Am Med Inform Assoc, 16(3)

To assess the performance of electronic health record data for syndromic surveillance and to assess the feasibility of broadly distributed surveillance.
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19 May 2009 | No Comments »
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Infodemiology and Infoveillance: Framework for an Emerging Set of Public Health Informatics Methods to Analyze Search, Communication and Publication Behavior on the Internet

Eysenbach G. J Med Internet Res 2009;11(1)

Infodemiology can be defined as the science of distribution and determinants of information in an electronic medium, specifically the Internet, or in a population, with the ultimate aim to inform public health and public policy. Infodemiology data can be collected and analyzed in near real time. Examples for infodemiology applications include the analysis of queries from Internet search engines to predict disease outbreaks (eg. influenza), monitoring peoples’ status updates on microblogs such as Twitter for syndromic surveillance, detecting and quantifying disparities in health information availability, identifying and monitoring of public health relevant publications on the Internet (eg. anti-vaccination sites, but also news articles or expert-curated outbreak reports), automated tools to measure information diffusion and knowledge translation, and tracking the effectiveness of health marketing campaigns.
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30 March 2009 | No Comments »
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Prosthetic Surveillance: the medical governance of healthy bodies in cyberspace

Rich, Emma, and Andy Miah. Surveillance & Society, 6(2)

This paper examines how ‘surveillance medicine’ (Armstrong 1995) has expanded the realm of the medical gaze via its infiltration of cyberspace, where specific features of healthism are now present. Drawing on Foucault’s notion of biopower, we examine how digital health resources offer new ways through which to discipline individuals and regulate populations. The emergence of health regulation within and through cyberspace takes place in a context wherein the relationship between the body and technology is rendered more complex.
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19 March 2009 | No Comments »
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Observing the Others, Watching Over Oneself: themes of medical surveillance in society

Bauer, Susanne, and Jan Eric Olsén, Surveillance & Society, 6(2)

This article explores two instances of medical surveillance that illustrate post-panoptic views of the body in biomedicine, from the patient to the population. Techniques of surveillance and monitoring are part of medical diagnostics, epidemiological studies, aetiologic research, health care management; they also co-shape individual engagements with illness. In medicine, surveillance data come as digital anatomies for educational purposes and clinical diagnostics that subject the body to imaging techniques, but also as databases of patient collectives that are established in large-scale, at times nationwide, epidemiological studies.
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19 March 2009 | No Comments »
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Detecting influenza epidemics using search engine query data

Ginsberg J et al, Nature, 457(7232)

Seasonal influenza epidemics are a major public health concern, causing tens of millions of respiratory illnesses and 250,000 to 500,000 deaths worldwide each year. In addition to seasonal influenza, a new strain of influenza virus against which no previous immunity exists and that demonstrates human-to-human transmission could result in a pandemic with millions of fatalities. Early detection of disease activity, when followed by a rapid response, can reduce the impact of both seasonal and pandemic influenza.
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21 February 2009 | No Comments »
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