Panackal Anil A, M'ikanatha Nkuchia M, Tsui Fu-Chiang, McMahon Joan, Wagner Michael M, Dixon Bruce W, Zubieta Juan, Phelan Maureen, Mirza Sara, Morgan Juliette, Jernigan Daniel, Pasculle A William, Rankin James T, Hajjeh Rana A, Harrison Lee H
Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Emerg Infect Dis. 2002 Jul;8(7):685-91. doi: 10.3201/eid0807.010493.
Electronic laboratory-based reporting, developed by the UPMC Health System, Pittsburgh, Pennsylvania, was evaluated to determine if it could be integrated into the conventional paper-based reporting system. We reviewed reports of 10 infectious diseases from 8 UPMC hospitals that reported to the Allegheny County Health Department in southwestern Pennsylvania during January 1-November 26, 2000. Electronic reports were received a median of 4 days earlier than conventional reports. The completeness of reporting was 74% (95% confidence interval [CI] 66% to 81%) for the electronic laboratory-based reporting and 65% (95% CI 57% to 73%) for the conventional paper-based reporting system (p>0.05). Most reports (88%) missed by electronic laboratory-based reporting were caused by using free text. Automatic reporting was more rapid and as complete as conventional reporting. Using standardized coding and minimizing free text usage will increase the completeness of electronic laboratory-based reporting.
由宾夕法尼亚州匹兹堡的UPMC医疗系统开发的基于实验室的电子报告系统，接受了评估以确定其是否能整合到传统的纸质报告系统中。我们回顾了2000年1月1日至11月26日期间向宾夕法尼亚州西南部阿勒格尼县卫生部门报告的8家UPMC医院的10种传染病报告。电子报告的接收时间比传统报告的中位数早4天。基于实验室的电子报告的报告完整性为74%（95%置信区间[CI]为66%至81%），传统纸质报告系统的报告完整性为65%（95%CI为57%至73%）（p>0.05）。基于实验室的电子报告遗漏的大多数报告（88%）是由于使用自由文本造成的。自动报告比传统报告更迅速且同样完整。使用标准化编码并尽量减少自由文本的使用将提高基于实验室的电子报告的完整性。
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