Travers Debbie A, Waller Anna, Haas Stephanie W, Lober William B, Beard Carmen
School of Information and Library Science, University of North Carolina, Chapel Hill, NC, USA.
AMIA Annu Symp Proc. 2003;2003:664-8.
Emergency Department (ED) data are a key component of bioterrorism surveillance systems. Little research has been done to examine differences in ED data capture and entry across hospitals, regions and states. The purpose of this study was to describe the current state of ED data for use in bioterrorism surveillance in 2 regions of the country. We found that chief complaint (CC) data are available electronically in 54% of the North Carolina EDs surveyed, and in 100% of the Seattle area EDs. Over half of all EDs reported that CCs are recorded in free text form. Though all EDs have electronic diagnosis data, less than half report that diagnoses are coded within 24 hours of the ED visit.
急诊科(ED)数据是生物恐怖主义监测系统的关键组成部分。针对不同医院、地区和州之间急诊科数据采集与录入的差异,目前开展的研究较少。本研究旨在描述美国两个地区用于生物恐怖主义监测的急诊科数据的现状。我们发现,在接受调查的北卡罗来纳州的急诊科中,54%的机构有电子形式的主诉(CC)数据,而在西雅图地区的急诊科中这一比例为100%。超过半数的急诊科报告称,主诉是以自由文本形式记录的。尽管所有急诊科都有电子诊断数据,但不到一半的机构报告称,诊断编码是在急诊就诊后24小时内完成的。