Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System

Objectives: To assess emergency department (ED) clinicians' perceptions of a novel real-time influenza surveillance system using a pre- and post-implementation structured survey.Methods: We created and implemented a laboratory-based real-time influenza surveillance system at two EDs at the begi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Richard E. Rothman, Yu-Hsiang Hsieh, Anna DuVal, David A. Talan, Gregory J. Moran, Anusha Krishnadasan, Katy Shaw-Saliba, Andrea F. Dugas
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	influenza surveillance emergency department dashboard provider acceptability cloud-based Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f1d45222fe3c47b38710d833817bef18
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f1d45222fe3c47b38710d833817bef18
record_format	dspace
spelling	oai:doaj.org-article:f1d45222fe3c47b38710d833817bef182021-11-04T05:12:26ZFront-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System2296-256510.3389/fpubh.2021.740258https://doaj.org/article/f1d45222fe3c47b38710d833817bef182021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.740258/fullhttps://doaj.org/toc/2296-2565Objectives: To assess emergency department (ED) clinicians' perceptions of a novel real-time influenza surveillance system using a pre- and post-implementation structured survey.Methods: We created and implemented a laboratory-based real-time influenza surveillance system at two EDs at the beginning of the 2013-2014 influenza season. Patients with acute respiratory illness were tested for influenza using rapid PCR-based Cepheid Xpert Flu assay. Results were instantaneously uploaded to a cloud-based data aggregation system made available to clinicians via a web-based dashboard. Clinicians received bimonthly email updates summating year-to-date results. Clinicians were surveyed prior to, and after the influenza season, to assess their views regarding acceptability and utility of the surveillance system data which were shared via dashboard and email updates.Results: The pre-implementation survey revealed that the majority (82%) of the 151 ED clinicians responded that they “sporadically” or “don't,” actively seek influenza-related information during the season. However, most (75%) reported that they would find additional information regarding influenza prevalence useful. Following implementation, there was an overall increase in the frequency of clinician self-reporting increased access to surveillance information from 50 to 63%, with the majority (75%) indicating that the surveillance emails impacted their general awareness of influenza. Clinicians reported that the additional real-time surveillance data impacted their testing (65%) and treatment (51%) practices.Conclusions: The majority of ED clinicians found surveillance data useful and indicated the additional information impacted their clinical practice. Accurate and timely surveillance information, distributed in a provider-friendly format could impact ED clinician management of patients with suspected influenza.Richard E. RothmanYu-Hsiang HsiehAnna DuValDavid A. TalanGregory J. MoranAnusha KrishnadasanKaty Shaw-SalibaAndrea F. DugasFrontiers Media S.A.articleinfluenzasurveillanceemergency departmentdashboardprovider acceptabilitycloud-basedPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	influenza surveillance emergency department dashboard provider acceptability cloud-based Public aspects of medicine RA1-1270
spellingShingle	influenza surveillance emergency department dashboard provider acceptability cloud-based Public aspects of medicine RA1-1270 Richard E. Rothman Yu-Hsiang Hsieh Anna DuVal David A. Talan Gregory J. Moran Anusha Krishnadasan Katy Shaw-Saliba Andrea F. Dugas Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System
description	Objectives: To assess emergency department (ED) clinicians' perceptions of a novel real-time influenza surveillance system using a pre- and post-implementation structured survey.Methods: We created and implemented a laboratory-based real-time influenza surveillance system at two EDs at the beginning of the 2013-2014 influenza season. Patients with acute respiratory illness were tested for influenza using rapid PCR-based Cepheid Xpert Flu assay. Results were instantaneously uploaded to a cloud-based data aggregation system made available to clinicians via a web-based dashboard. Clinicians received bimonthly email updates summating year-to-date results. Clinicians were surveyed prior to, and after the influenza season, to assess their views regarding acceptability and utility of the surveillance system data which were shared via dashboard and email updates.Results: The pre-implementation survey revealed that the majority (82%) of the 151 ED clinicians responded that they “sporadically” or “don't,” actively seek influenza-related information during the season. However, most (75%) reported that they would find additional information regarding influenza prevalence useful. Following implementation, there was an overall increase in the frequency of clinician self-reporting increased access to surveillance information from 50 to 63%, with the majority (75%) indicating that the surveillance emails impacted their general awareness of influenza. Clinicians reported that the additional real-time surveillance data impacted their testing (65%) and treatment (51%) practices.Conclusions: The majority of ED clinicians found surveillance data useful and indicated the additional information impacted their clinical practice. Accurate and timely surveillance information, distributed in a provider-friendly format could impact ED clinician management of patients with suspected influenza.
format	article
author	Richard E. Rothman Yu-Hsiang Hsieh Anna DuVal David A. Talan Gregory J. Moran Anusha Krishnadasan Katy Shaw-Saliba Andrea F. Dugas
author_facet	Richard E. Rothman Yu-Hsiang Hsieh Anna DuVal David A. Talan Gregory J. Moran Anusha Krishnadasan Katy Shaw-Saliba Andrea F. Dugas
author_sort	Richard E. Rothman
title	Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System
title_short	Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System
title_full	Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System
title_fullStr	Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System
title_full_unstemmed	Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System
title_sort	front-line emergency department clinician acceptability and use of a prototype real-time cloud-based influenza surveillance system
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/f1d45222fe3c47b38710d833817bef18
work_keys_str_mv	AT richarderothman frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT yuhsianghsieh frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT annaduval frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT davidatalan frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT gregoryjmoran frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT anushakrishnadasan frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT katyshawsaliba frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem AT andreafdugas frontlineemergencydepartmentclinicianacceptabilityanduseofaprototyperealtimecloudbasedinfluenzasurveillancesystem
_version_	1718445246815141888

Front-Line Emergency Department Clinician Acceptability and Use of a Prototype Real-Time Cloud-Based Influenza Surveillance System

Ejemplares similares