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      Investigating public health emergency response information system initiatives in China

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          Abstract

          Infectious diseases pose a great danger to public health internationally. The outbreak of SARS has exposed China’s fragile public health system and its limited ability to detect and respond to emergencies in a timely and effective manner. In order to strengthen its capability of responding to future public health emergencies, China is developing a public health emergency response information system (PHERIS) to facilitate disease surveillance, detection, reporting, and response. The purpose of this study is to investigate the ongoing development of China’s PHERIS. This paper analyzes the problems of China’s existing public health system and describes the design and functionalities of PHERIS from both technical and managerial aspects.

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          Most cited references15

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          Technical Description of RODS: A Real-time Public Health Surveillance System

          This report describes the design and implementation of the Real-time Outbreak and Disease Surveillance (RODS) system, a computer-based public health surveillance system for early detection of disease outbreaks. Hospitals send RODS data from clinical encounters over virtual private networks and leased lines using the Health Level 7 (HL7) message protocol. The data are sent in real time. RODS automatically classifies the registration chief complaint from the visit into one of seven syndrome categories using Bayesian classifiers. It stores the data in a relational database, aggregates the data for analysis using data warehousing techniques, applies univariate and multivariate statistical detection algorithms to the data, and alerts users of when the algorithms identify anomalous patterns in the syndrome counts. RODS also has a Web-based user interface that supports temporal and spatial analyses. RODS processes sales of over-the-counter health care products in a similar manner but receives such data in batch mode on a daily basis. RODS was used during the 2002 Winter Olympics and currently operates in two states—Pennsylvania and Utah. It has been and continues to be a resource for implementing, evaluating, and applying new methods of public health surveillance.
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            Public health surveillance in the United States.

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              Development of a clinical data warehouse for hospital infection control.

              Existing data stored in a hospital's transactional servers have enormous potential to improve performance measurement and health care quality. Accessing, organizing, and using these data to support research and quality improvement projects are evolving challenges for hospital systems. The authors report development of a clinical data warehouse that they created by importing data from the information systems of three affiliated public hospitals. They describe their methodology; difficulties encountered; responses from administrators, computer specialists, and clinicians; and the steps taken to capture and store patient-level data. The authors provide examples of their use of the clinical data warehouse to monitor antimicrobial resistance, to measure antimicrobial use, to detect hospital-acquired bloodstream infections, to measure the cost of infections, and to detect antimicrobial prescribing errors. In addition, they estimate the amount of time and money saved and the increased precision achieved through the practical application of the data warehouse.
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                Author and article information

                Contributors
                Journal
                Int J Med Inform
                Int J Med Inform
                International Journal of Medical Informatics
                Elsevier Ireland Ltd.
                1386-5056
                1872-8243
                7 July 2004
                September 2004
                7 July 2004
                : 73
                : 9
                : 675-685
                Affiliations
                [a ]Department of Information Technology and Operations Management, College of Business, Florida Atlantic University, Ft. Lauderdale, FL 33308, USA
                [b ]Department of Management, College of Business, Auburn University, Auburn, AL 36849, USA
                Author notes
                [* ]Corresponding author. Tel.: +1 954 762 5682; fax: +1 954 762 5245. hliang@ 123456fau.edu
                Article
                S1386-5056(04)00122-4
                10.1016/j.ijmedinf.2004.05.010
                7128295
                15325324
                9c8d17f3-e187-4f25-ae25-18bacc796a55
                Copyright © 2004 Elsevier Ireland Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 15 March 2004
                : 9 May 2004
                : 18 May 2004
                Categories
                Article

                public health,emergency response,information systems

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