Page 80 - Timeliness of Infectious Disease Notification & Response Systems - Corien Swaan

78 Chapter 3
Supportive Information
S1 Table. Delays of notifications system per study and timeliness of notifcation system according author’s predefined timeframe.
Conv
??
Electr
both
MR
study nr
1 2 3 4 5 6 7 8 9
10 11
12 13 14 15 16
17 18
19 20 21 22 23 24 25
26 27
28 29 30 31 32 33
34 35 36
37
38 39 40
41 42 43 44 45 46 47 48
#: median $ 75thP
days<------- 12 11 10 9 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8 9 10>>>>>>>
study nr
Results
1 D3: HUS before I median 1 day (0-3), after: 0 (0-1). STEC 1 (0-3) and 0 (0-1). D4-5: HUS before 7 (4-13), after 3 (1-5), STEC before 7 (4-11) after 3 (1-5)
2 62% reported within 24h
3 E (SIMI): D4-5 mean 4 months, other software regions: 6 months. Old paper based system: years.
4 D3 Clinical 40%-> 29% (before and after intervention) timely, D3 lab confirmed: 22% -> 25% . Total cases: D3: 34.5 -> 25.7% timely D4-5: clinical 62 ->79% and lab confirmed: 61 –> 86%, Total cases: 61.9 -> 85.5% timely
5 D3-4 median range 7-38 days different states. 1-34% ≤ 3 working days. 5-53% ≤ 7 days (range states)
6 52% of notifications occurred at same day or following day after lab confirmation
7 45% of labs report timely (>90% of reports timely)
8 D3P: G1 (mean 1.2d, SD 1.4), G2 (mean 1.9d, SD 2.7) D3P: G1 median delay 2.5 (2012) -> 1.5 days (2013)
9 Medians: E: 1.5 days (range 0-7days), C: Active system 2 days (range 0-7), Passive system 1 day (0-20)
10 Varied between 80-94% ≤ 7days in first period and between 79%- 94% in the second period. Median 2-4 days in both periods.
11 In 2007: 55% of laboratory notifications timely, (variations between labs: 3-98%) 93% of MD’s reports timely.
12 D4+ D5: median 2d, range 0-136 days
13 From 454 to 26 days for all forms (median), and from 393 to 50 days for one-sided OCR forms (mean)
14 Report on Time Rate phone: 64.6% -> 84% in clinics and 46.9-> 77.3% in ships. Visits/controls: no sign improvement. Range 47-60%
15 D1-D5 median range 12-40 days, depending on disease. D3X - D5 median range 10-19 days. 40% of cases (ex pertussis) reported < 1 inc. period) for each delay
16 D2: Median delay 7-11 days (dep on disease). ELR 1.7 times faster than paperbased. D3P signed: median 4 days (IQ 1-9 days) C=E.
D3P: median Smimet 5 days (IQ: 2-9), paperbased 5 (2-8). D3X: median 5 (4-7)
17 91% of ELR reports timely, 87% of conventional reports (telephone 100%, fax 93%)
18 Median D1: 12, D3: 5 days.
D3X ELR max 1 day then projected D1 < 2 IP: disease specific over years: 1-> 10% (salmonella), 92->98% hepatitis A shigellosis 28-> 60%, meningococcosis 84->94%
19 81% reported timely. 18.8% delayed reporting.
20 D3: 98,8% < 24 hour
21 Within 12h: 2004: 60% to 2006: 79%, within 24h: 2004: 76% to 2006: 91%. D3X: median 3.3 hr
22 Median from 27d (2000) to 6d (2006). 8 of 9 labs reported within 7d ELR (median).
23 D3P: mean 28 days (median 16, range 1-109 days). Lab did not report.
24 Median 4d. 28% within 2d, 44% within 2-7d. 29% > 7 days.
25 ECLRS reports (median 6 days), paper reports (median 25 days). Median improvement 11 days (3-42days)
26 ELR 7.9d earlier than conventional reporting.
27 Medians: paper based 5 d (IQ range 4 days). ELR 1 day (IQ 0 days). ELR median 4 days earlier (IQ 4 days)
28 36% notified on day of admission. 63% within 1d, 72% within 2d (range 0-36 days). 64% next day of admission or later
29 AFB Smear positive: median 0 days, 13.8% (12/87) delayed. Smear negative median 0 days, 6.5% (6/92) delayed (>1d).
30 D3P-D4: Intervention area: 75% of cases entered < 24 hrs. D3-4 full information: median 37 -> 7 days. On other settings 22 and 27 resp. Intervention – follow up: interv areas median 2 days
31 HL7 for diseases immediate notification: median 1 day sign better than paper based other labs (median 5 days). HL7 for diseases < 3 working days: sign better than paper based
32 Overall 92.3% (155/ 184) timely.
33 D1: median range 3-16 days depending per disease. 0,4-90% < 1 inc. period. 2.9 – 97.2.% <2 inc periods.
D3: ≤ 3 days: 58-88%
34 D1: SSSN: average 14 days (2003). MNS: 1999-2002: mean 33 days, 2003: 21 days. median 14 days laboratory, MD 13 days. Average 3 weeks
35 Sminet median delay 5d (D3X, IQR 3-7), 11d (D3P, IQR 6-20). Lab: 1%<24h, 85%<7d, 99% <30d, Clin: 9%<24h, 45%<7d , 91% < 30d
36
37 2012: medians ELR: 20d, Non ELR: 25d 5d faster, 2010: 52 and 40 respectively. (Total PH process time). Both significant
38 D1: Prereporting period median ELR: London 24d (range 0-115) and SE 22d (7-135). Conventional: London and SE 10d. D2 (electr): 19 days London (range2-88) and 18 SE (range 10-132)
39 2003: 36% within 1 d, 2006: 59% within 1 d. median 2003 2 days, 2006 1 day.
40 D2 provider: median 4-21 days, D2 laboratory: 3-11 days. Only STEC and listeriosis providers 1 day earlier.
41 86.1% reported < 1 day (2005-2014), from 2011: >99%, sign improved
42 D1 Median 16 days (15 ->16 days) D3-5: median 79 days (118 -> 59 days). D2: median 91 days (131 -> 72 days)
43 HCV: in 2004: median 454 days, in 2008 26 days Only HCV compared former and MAVEN
44 TCHD: 25% of < 24hr in time, median 2 days, others : 35% < 24 hr median 3 days. ID < 7days: 79,2 vs 80,6 % resp. Both: median 4 days.
45 Improved timeliness / central delay. D4-5: Median 10 -> 1 day (Osiris)
46 D3: 77.7% within 1 day (median 1) (2004: 42,7%, 2009: 99,9%, median 2 ->0)
47 D3: < 1 day: 60-85%, < 7 days: 84-85% , D4 <1 day: 49-65%, < 7days 84-90%, D5 <1 day: 65-83%, < 7days: 97-98%:
48 89% of laboratories report within 24h.
D3 D4+5
D4+ D5 mean: 4 months
D3P $:1
D4+D5: $: 5 days
D3X 62*
D3 P/X > 80% in < 7 days
D4+ D5: >80% < 2 days
D2: $ 12 days
D1: 90% notifified within 12 days
D3X: 90% within 10 days
D3P:#26days
D1-D5: # 12-40 days, depending on disease
D3X-D5: 10-19 days (medians), dependeing on disease D2: # 2-11 dagen, depending on disease
D3P: 90% within 3 days
D3P:77-84% wthin 4 days by phone
calls
D3-4: median range 7- 38 days
D3P #
D3P mean 1.2-1.9 days
D3P/X # 1-2 days
median 2 days
D3P-D3X: # 5 days
D1: # 12 days
D3P:#16days
D2: # 25 days
D3P/X 90% < 10 days
D3P: 80% < 7 days
D2: # 6 days
D3X median 3 days
D1-D5: # 4 days
D3P/X >90%
D3X/P 99% < 1day D3X 91% < 24 hr
D3X: # 1 day
D3X > 86% < 1 day
D3X mean 0-4 days D3X: # 5 days
D3P-D4: # within 7 days (total delay)
check onderverdeling
D3P: 72% <2 days
D1 Median 3-16 days depending per disease
D1 # within 26 days D3P:#≤20days
D2: # 18-19 days
D2P: # 4-21 depending on disease
D2X # 3-11 days depending on disease
D2 D2:#91days
D2: $ within 7 days D2:>90%<6 days
D3X: # within 7 days
D3: # max 3 days
D3P: average 2.4 days
D2: # within 4 days
D3P#mac3days
D4-5 # 25 days D4-5# 20 days
D3P/X # 1 day
D3 P/X >90% within 1 day
D4: # 26 days
D4-5 $ ≤ 1 day D3P: ≥90% ≤ 1 day
D4# max2days D5#max1day D3X: 89% < 24 hour