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We utilized electronically registered triage data for adult patients visiting the Emergency Care Center (ECC) at KAMC.
Telephone triage data in the U.S. are patchy in coverage and therefore not a reliable source of ILI surveillance data on a national scale.
It is not self-evident that the degree of correlation with the CDC surveillance data is the best measure of utility of the telephone triage data for ILI surveillance.
The relative advantage to public health of analyzing telephone triage data as a separate, potentially more timely data stream vs. combining these data with ED or ambulatory care data for a larger, possibly more robust source remains to be determined.
In synthesis, in the absence of a universal health care system, telephone triage data, even when from a single company with national scope, will be patchy in coverage and therefore not a reliable source of ILI surveillance data on a national scale.
The addition of other data elements including temperature, laboratory orders for influenza tests, chest x-ray orders, telephone triage data, and pharmacy prescriptions for antivirals and other drugs may help improve sensitivity, specificity, and the ability to predict how severe the potential outbreak may be.
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The Lean Team also implemented changes in staffing to match improvements in workflow processes so that laboratory assistants were assigned the tasks of sample receiving, sorting, and triaging; data entry (accessioning into the LIS); and other support duties, and medical laboratory technologists were assigned to sample preparation, DNA extraction, RT-PCR, result validation and result reporting.
It contains all demographic data, triage information (including vital signs, purpose of consultation, and pain level when relevant) as well as any pertinent data collected in real time by nurses during their re-evaluation rounds, including medication administration, and pain intensity.
Users could then access more information to include cell line, species, compound dose and incubation time details - and use this to triage their data further.
National telephone triage call data were collected through automated means for purposes of syndromic surveillance.
(For a variety of reasons, telephone triage service data from subsequent seasons were not available for this analysis).
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