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Through performance comparisons, we demonstrate a substantial reliability and timeliness improvement of RTGOR under different scales of network nodes. .
Through performance comparisons, we demonstrate a substantial reliability and timeliness improvement of RTGOR under different scales of network nodes.
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Timeliness improved for all pathogens; the improvements for chlamydia, invasive group A streptococcal infections, and salmonellosis cases were statistically significant (Table 1).
Addressing timeliness in technological improvement should go in tandem with minimizing organizational delay.
Raising awareness of the importance of persistent symptoms among patients may also help reduce between-consultation intervals (and therefore improve timeliness of diagnosis), although such improvements may not necessarily reduce the number of pre-referral consultations.
Some countries have experienced improvement of timeliness through direct and automated electronic laboratory reporting (ELR) [ 20- 24].
There was a slight improvement in timeliness of reporting, from a median of 7 days to 6 days.
Neither the visit group nor the control group showed a significant improvement in timeliness (p = 0.798; p = 0.847 respectively).
Table 1 lists the specific pathogens documented through this system and the average improvement in timeliness for each pathogen.
Notably, our system attained a significant improvement in timeliness of detection for Salmonella spp., as well as an improvement in underreporting of this pathogen.
On the other hand, monthly supervision visits allowed closer contact with reporting personnel, but did not show significant improvement in timeliness, probably because of their limited frequency.
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