The κ statistic was 0.97 (confidence interval [CI] 0.83 1.00), which indicated superior agreement between chart review and electronic rule.
Using information obtained from chart review as the standard, we determined sensitivity and specificity of the electronic rule and calculated agreement (κ statistic) between manual and electronic reviews.
To ensure blinding for manual chart reviews, all references to results of the electronic rule were removed from data collection instruments.
We assessed sensibility, specificity, negative and positive predictive value of the electronic rule, considering the confirmed clinical diagnosis at discharge as the gold standard.
The paper charts for these 200 patients were reviewed to validate the designations of CA- or healthcare-associated infection, by using the same criteria as for the electronic rule.
Using data collected within the Chicago Antimicrobial Resistance Project computerized clinical data repository (9 ) from September 1 , 2001 to August 31, 2004, we developed an electronic rule to define persons with CA infection with S. aureus.
From May 2013 our hospital implemented a Sepsis Code (SC) based on an early detection electronic rule developed by our multiprofessional sepsis team: clinicians and IT engineers (EMR Cerner Millennium platform) and a standardized order set plus systematic follow-up by our sepsis team.
We assessed the utility of administrative databases, a computerized clinical data repository, and an electronic rule to enhance surveillance for CA-MRSA at Stroger (Cook County) Hospital, a 464-bed public safety net hospital in Chicago, and its associated clinics—all part of the Cook County Bureau of Health Services (CCBHS).
This requires the mastering of the long-range electron transfer effect (super-tunnelling phenomenon) and introduces new electronic circuit rules to create electronic functionnalities inside a single molecule.
(The electronic transfer rules put more of the burden of reporting possible fraud on the consumer, compared to the truth-in-lending rules governing credit cards).
