Direct Cost Associated With the Development and Implementation of a Local Syndromic Surveillance System

A, Kirkwood; Guenther, Eric; Fleischauer, Aaron; Gunn, Julia; Hutwagner, Lori; Barry, Mark

doi:10.1097/00124784-200703000-00017

Cited by 15 publications

(11 citation statements)

References 5 publications

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“…In parallel, entomological surveillance needs to be purposeful and aligned to periodical risk assessment to detect high densities of competent vectors in high-risk areas (30). The entomological surveillance should be directed in high-risk areas not only to detect high densities of competent vectors, but also to assess the probability and efficiency of transmission of ZIKV from mosquitoes to human by detecting the virus and assessing the infec- On the basis of this rationale, the syndromic surveillance approach is highly recommended in EMR countries where indigenous transmission is low or absent or not documented, since the cost for establishing such a system is reasonable, supplements the functions of the existing surveillance system in the country, and has been ideally used to detect a new health event elsewhere (31,32). It is expected that using a syndromic approach, the warning signs of an impending outbreak of ZIKV infection would be detected early on, leading to further field investigation for confirmation.…”

Section: Discussionmentioning

confidence: 99%

Enhancing surveillance for early detection of Zika virus infection: strategies for the countries of Eastern Mediterranean Region

Obtel¹,

Malik

Nguyen

et al. 2019

East Mediterr Health J

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Background: Zika virus infection (ZIKV) has caused major outbreaks in tropic and sub-tropic areas. No case from ZIKV has yet been reported in the countries of the Eastern Mediterranean Region (EMR) despite the presence of competent vector Aedes mosquitoes in many of these countries. Aims: This study addresses appropriate surveillance strategies for early detection of ZIKV infection, which is important for EMR countries with established Aedes populations, but with no known or documented autochthonous transmission of ZIKV. Methods: The WHO Regional Office for the Eastern Mediterranean developed a strategic framework for enhancing surveillance for ZIKV infection in EMR countries with established Aedes populations through a consultative process and review of available evidence. Results: The framework calls for enhancing surveillance for early detection of ZIKV infection using a combination of both syndromic and event-based surveillance approaches. Conclusions: Enhancing surveillance for ZIKAV would require no shift in the existing system. A number of considerations would be required to integrate this syndromic and event-based surveillance approaches within the existing system.

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Section: Discussionmentioning

confidence: 99%

Enhancing surveillance for early detection of Zika virus infection: strategies for the countries of Eastern Mediterranean Region

Obtel¹,

Malik

Nguyen

et al. 2019

East Mediterr Health J

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“…There are three issues to consider. First, the cost of software development continually serves as one of the critical factors in public health decision [20].Second, application of means for semantic web knowledge representation and reasoning to knowledge management can help provide highly individualized knowledge pushing(KP) service, including RDF and other W3C standards [21].Third, the concept of service-oriented-architecture(SOA) indicates that the reusable, loosely coupled and specialized function can perform as an element in other larger software [22]. Therefore, the functional modules of knowledge management can be developed as a service for other application.…”

Section: Methodsmentioning

confidence: 99%

Using Knowledge Management and Mhealth in High-Risk Pregnancy Care: A Case for the Floating Population in China

Yang

et al. 2014

2014 IEEE 38th International Computer Software and Applications Conference Workshops

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some disorders and conditions can put a mother or baby at a higher risk for problems, which requires management by a specialist to help ensure the best outcome of the pregnancy. But it is a big challenge in the case of the rural women in urban China, considering their low income, unstable residence and employment, level of knowledge and awareness of maternal health-care. In this paper, a role-based e-health system with knowledge management and m-health technology is proposed and implemented. The roles in the system include the patients, the specialists in maternal-fetal medicine, the maternal healthcare providers (e.g., general practitioners) and the data center service provider. The system is used by approximately 100 ruralto-urban pregnant women in Fengtai District, Beijing, and the experience shows the feasibility of an early-step use of knowledge management and m-health technology in high-risk pregnancy care efforts.

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“…Direct costs are costs that are directly linked to the production and services of the surveillance system, and they can be further divided into fixed and variable costs. Examples of fixed costs include equipment and software purchases, while variable costs vary with the volume of activity 30. Development costs involve mostly fixed costs, such as equipment and software purchases.…”

Section: Important Considerations For Medical Device Surveillance Sysmentioning

confidence: 99%

A proposed framework to improve the safety of medical devices in a Canadian hospital context

Polisena¹,

Jutai²,

Chreyh³

2014

MDER

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PurposeMedical devices are used to monitor, replace, or modify anatomy or physiological processes. They are important health care innovations that enable effective treatment using less invasive techniques, and they improve health care delivery and patient outcomes. Devices can also introduce risk of harm to patients. Our objective was to propose a surveillance system framework to improve the safety associated with the use of medical devices in a hospital.Materials and methodsThe proposed medical device surveillance system incorporates multiple components to accurately document and assess the appropriate actions to reduce the risk of incidents, adverse events, and patient harm. The assumptions on which the framework is based are highlighted. The surveillance system was designed from the perspective of a tertiary teaching hospital that includes dedicated hospital staff whose mandate is to provide safe patient care to inpatients and outpatients and biomedical engineering services.ResultsThe main components of the surveillance system would include an adverse medical device events database, a medical device/equipment library, education and training, and an open communication and feedback strategy. Close linkages among these components and with external medical device/equipment networks to the hospital must be established and maintained. A feedback mechanism on medical device-related incidents, as well as implementation and evaluation strategies for the surveillance system are described to ensure a seamless transition and a high satisfactory level among the hospital staff. The direct cost items of the proposed surveillance system for consideration, and its potential benefits are outlined.ConclusionThe effectiveness of the proposed medical device surveillance system framework can be measured after it has been implemented in a Canadian hospital facility.

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Direct Cost Associated With the Development and Implementation of a Local Syndromic Surveillance System

Cited by 15 publications

References 5 publications

Enhancing surveillance for early detection of Zika virus infection: strategies for the countries of Eastern Mediterranean Region

Enhancing surveillance for early detection of Zika virus infection: strategies for the countries of Eastern Mediterranean Region

Using Knowledge Management and Mhealth in High-Risk Pregnancy Care: A Case for the Floating Population in China

A proposed framework to improve the safety of medical devices in a Canadian hospital context

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