Utilizing the electronic health records to create a syndromic staff surveillance system during the COVID-19 outbreak - 25/05/21
, Edwin Philip Conceicao, BSc (nursing) b, Liang En Wee, MBBS, MRCP, MPH a, c, May Kyawt Aung, MPH b, Sylvia Yi Wei Seow, BE (Bioengineering) d, Raymond Chee Yang Teo, MBA (Healthcare Specialisation) d, Jia Qing Goh, MSc (Statistics) e, Dennis Wu Ting Yeo e, Benjamin Jyhhan Kuo, MD f, John Wah Lim, MB Bch (Hons), MPH, Dip (Family Med), FAMS g, Wee Hoe Gan, MBBS (S’pore), MPH, MRCP (UK), DAvMed (Lond), FRCP (Edin), FAMS g, Moi Lin Ling, MBBS, DP BACT, FRCPA, CPHQ, PBM b, Indumathi Venkatachalam, MBBS (Sydney), MRCP (UK), FRACP, MPH (Hopkins) a, b
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Highlights |
• | It is feasible to use EHR to create a surveillance system to identify ARI clusters. |
• | This requires combination of clinical and geospatial variables mapped over time. |
• | This may aid surveillance efforts during the COVID-19 pandemic. |
Résumé |
Objectives |
Since December 2019, COVID-19 has caused a worldwide pandemic and Singapore has seen escalating cases with community spread. Aggressive contact tracing and identification of suspects has helped to identify local community clusters, surveillance being the key to early intervention. Healthcare workers (HCWs) have contracted COVID-19 infection both at the workplace and community. We aimed to create a prototype staff surveillance system for the detection of acute respiratory infection (ARI) clusters amongst our HCWs and describe its effectiveness.
Methods |
A prototypical surveillance system was built on existing electronic health record infrastructure.
Results |
Over a 10-week period, we investigated 10 ARI clusters amongst 7 departments. One of the ARI clusters was later determined to be related to COVID-19 infection. We demonstrate the feasibility of syndromic surveillance to detect ARI clusters during the COVID-19 outbreak.
Conclusion |
The use of syndromic surveillance to detect ARI clusters amongst HCWs in the COVID-19 pandemic may enable early case detection and prevent onward transmission. It could be an important tool in infection prevention within healthcare institutions.
Le texte complet de cet article est disponible en PDF.Key Words : Syndromic surveillance, Respiratory infections, Staff
Plan
| Conflicts of interest: The authors have no conflicts of interests to declare. |
Vol 49 - N° 6
P. 685-689 - juin 2021 Retour au numéro
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