{"id":"https://openalex.org/W7169790345","doi":"https://doi.org/10.1093/bjsopen/zrag082","title":"Using Bayesian event probabilities for monitoring clinical quality assurance","display_name":"Using Bayesian event probabilities for monitoring clinical quality assurance","publication_year":2026,"publication_date":"2026-07-03","ids":{"openalex":"https://openalex.org/W7169790345","doi":"https://doi.org/10.1093/bjsopen/zrag082","pmid":"https://pubmed.ncbi.nlm.nih.gov/42473318","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13381787"},"language":"en","primary_location":{"id":"doi:10.1093/bjsopen/zrag082","doi":"https://doi.org/10.1093/bjsopen/zrag082","is_oa":true,"landing_page_url":"https://doi.org/10.1093/bjsopen/zrag082","pdf_url":null,"source":{"id":"https://openalex.org/S4210237822","display_name":"BJS Open","issn_l":"2474-9842","issn":["2474-9842"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJS Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/bjsopen/zrag082","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003037849","display_name":"Edward H. Livingston","orcid":"https://orcid.org/0000-0002-7364-0792","observed_orcids":["https://orcid.org/0000-0002-7364-0792"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Edward H Livingston","raw_affiliation_strings":["Department of Surgery, UCLA School of Medicine , Los Angeles, California ,"],"raw_orcid":"https://orcid.org/0000-0002-7364-0792","affiliations":[{"raw_affiliation_string":"Department of Surgery, UCLA School of Medicine , Los Angeles, California ,","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046615986","display_name":"Ami Hayashi","orcid":"https://orcid.org/0000-0002-3212-6295","observed_orcids":["https://orcid.org/0000-0002-3212-6295"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ami Hayashi","raw_affiliation_strings":["Department of Surgery, UCLA School of Medicine , Los Angeles, California ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, UCLA School of Medicine , Los Angeles, California ,","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081461210","display_name":"Kyle D. Klingbeil","orcid":"https://orcid.org/0000-0002-4359-5556","observed_orcids":["https://orcid.org/0000-0002-4359-5556"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kyle D Klingbeil","raw_affiliation_strings":["Department of Surgery, UCLA School of Medicine , Los Angeles, California ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, UCLA School of Medicine , Los Angeles, California ,","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045679034","display_name":"Anne Lin","orcid":"https://orcid.org/0000-0003-0200-6361","observed_orcids":["https://orcid.org/0000-0003-0200-6361"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anne Y Lin","raw_affiliation_strings":["Department of Surgery, UCLA School of Medicine , Los Angeles, California ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, UCLA School of Medicine , Los Angeles, California ,","institution_ids":["https://openalex.org/I161318765"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5003037849"],"corresponding_institution_ids":["https://openalex.org/I161318765"],"apc_list":{"value":2185,"currency":"GBP","value_usd":2881},"apc_paid":{"value":2185,"currency":"GBP","value_usd":2881},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.48219224,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"4","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.48750001192092896,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.48750001192092896,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.08919999748468399,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.0722000002861023,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-quality-assurance","display_name":"clinical quality assurance","score":0.8949999809265137},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8100000023841858},{"id":"https://openalex.org/keywords/colorectal-surgery","display_name":"colorectal surgery","score":0.9210000038146973},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.8029999732971191},{"id":"https://openalex.org/keywords/complication-surveillance","display_name":"complication surveillance","score":0.4790000021457672},{"id":"https://openalex.org/keywords/posterior-distribution","display_name":"posterior distribution","score":0.628000020980835},{"id":"https://openalex.org/keywords/postoperative-ileus","display_name":"postoperative ileus","score":0.6819999814033508},{"id":"https://openalex.org/keywords/anastomotic-leakage","display_name":"anastomotic leakage","score":1.0},{"id":"https://openalex.org/keywords/postoperative-bleeding","display_name":"postoperative bleeding","score":0.699999988079071}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6638000011444092},{"id":"https://openalex.org/C106436119","wikidata":"https://www.wikidata.org/wiki/Q836575","display_name":"Quality assurance","level":3,"score":0.5475999712944031},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5184000134468079},{"id":"https://openalex.org/C107673813","wikidata":"https://www.wikidata.org/wiki/Q812534","display_name":"Bayesian probability","level":2,"score":0.44130000472068787},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4262000024318695},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.37290000915527344},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.3617999851703644},{"id":"https://openalex.org/C2779662365","wikidata":"https://www.wikidata.org/wiki/Q5416694","display_name":"Event (particle physics)","level":2,"score":0.3589000105857849},{"id":"https://openalex.org/C190812933","wikidata":"https://www.wikidata.org/wiki/Q28923","display_name":"Chart","level":2,"score":0.3549000024795532},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.35409998893737793},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.34360000491142273},{"id":"https://openalex.org/C57830394","wikidata":"https://www.wikidata.org/wiki/Q278079","display_name":"Posterior probability","level":3,"score":0.3328000009059906},{"id":"https://openalex.org/C2779513377","wikidata":"https://www.wikidata.org/wiki/Q964984","display_name":"Current Procedural Terminology","level":2,"score":0.3327000141143799},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3303000032901764},{"id":"https://openalex.org/C45827449","wikidata":"https://www.wikidata.org/wiki/Q5270338","display_name":"Diagnosis code","level":3,"score":0.32670000195503235},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.31189998984336853},{"id":"https://openalex.org/C2777125728","wikidata":"https://www.wikidata.org/wiki/Q738153","display_name":"Ileus","level":2,"score":0.30149999260902405},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.29789999127388},{"id":"https://openalex.org/C2780378346","wikidata":"https://www.wikidata.org/wiki/Q1349983","display_name":"Leak","level":2,"score":0.29319998621940613},{"id":"https://openalex.org/C24756922","wikidata":"https://www.wikidata.org/wiki/Q1757694","display_name":"Data quality","level":3,"score":0.2858000099658966},{"id":"https://openalex.org/C3018741271","wikidata":"https://www.wikidata.org/wiki/Q1346149","display_name":"Surgical complication","level":3,"score":0.28529998660087585},{"id":"https://openalex.org/C2777317252","wikidata":"https://www.wikidata.org/wiki/Q18393516","display_name":"Rare events","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C523026621","wikidata":"https://www.wikidata.org/wiki/Q1413084","display_name":"Colorectal surgery","level":3,"score":0.27619999647140503},{"id":"https://openalex.org/C33724603","wikidata":"https://www.wikidata.org/wiki/Q812540","display_name":"Bayesian network","level":2,"score":0.2696000039577484},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.26759999990463257},{"id":"https://openalex.org/C58489278","wikidata":"https://www.wikidata.org/wiki/Q1172284","display_name":"Data set","level":2,"score":0.26649999618530273},{"id":"https://openalex.org/C178518018","wikidata":"https://www.wikidata.org/wiki/Q1024555","display_name":"CUSUM","level":2,"score":0.2660999894142151},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.25920000672340393},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.2587999999523163},{"id":"https://openalex.org/C175079658","wikidata":"https://www.wikidata.org/wiki/Q7312165","display_name":"Remote patient monitoring","level":2,"score":0.25459998846054077},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.2533999979496002}],"mesh":[{"descriptor_ui":"D000099090","descriptor_name":"Colorectal Surgical Procedures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001499","descriptor_name":"Bayes Theorem","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011336","descriptor_name":"Probability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/bjsopen/zrag082","doi":"https://doi.org/10.1093/bjsopen/zrag082","is_oa":true,"landing_page_url":"https://doi.org/10.1093/bjsopen/zrag082","pdf_url":null,"source":{"id":"https://openalex.org/S4210237822","display_name":"BJS Open","issn_l":"2474-9842","issn":["2474-9842"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJS Open","raw_type":"journal-article"},{"id":"pmid:42473318","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42473318","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJS open","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13381787","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13381787/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJS Open","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/bjsopen/zrag082","doi":"https://doi.org/10.1093/bjsopen/zrag082","is_oa":true,"landing_page_url":"https://doi.org/10.1093/bjsopen/zrag082","pdf_url":null,"source":{"id":"https://openalex.org/S4210237822","display_name":"BJS Open","issn_l":"2474-9842","issn":["2474-9842"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJS Open","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W1969969599","https://openalex.org/W2012835745","https://openalex.org/W2050604262","https://openalex.org/W2053321710","https://openalex.org/W2058862296","https://openalex.org/W2072082323","https://openalex.org/W2079963770","https://openalex.org/W2101682421","https://openalex.org/W2126458571","https://openalex.org/W2141707223","https://openalex.org/W2150701449","https://openalex.org/W2761512872","https://openalex.org/W2794047651","https://openalex.org/W2892150221","https://openalex.org/W3037414620","https://openalex.org/W3106297998","https://openalex.org/W3111697745","https://openalex.org/W3120726610","https://openalex.org/W3183048657","https://openalex.org/W4200272978","https://openalex.org/W4319844331","https://openalex.org/W4327905174","https://openalex.org/W4379509232","https://openalex.org/W4382794495","https://openalex.org/W4387344941","https://openalex.org/W4396592625","https://openalex.org/W4402752314","https://openalex.org/W4405274363","https://openalex.org/W4414396694","https://openalex.org/W4415063800"],"related_works":["https://openalex.org/W2072082323","https://openalex.org/W7160895015","https://openalex.org/W4402543675","https://openalex.org/W7103884644","https://openalex.org/W1984519133","https://openalex.org/W2190229253","https://openalex.org/W3018523591","https://openalex.org/W2126458571","https://openalex.org/W4409622316","https://openalex.org/W2984222224"],"abstract_inverted_index":{"BACKGROUND:":[0],"Current":[1],"systems":[2],"used":[3,14,152],"to":[4,24,57,67,138,153,238,298],"monitor":[5],"clinical":[6,35,302],"quality":[7,180],"metrics":[8],"are":[9],"expensive":[10],"and":[11,26,66,104,136,204,314],"use,":[12],"not":[13],"outdated":[15],"statistical":[16],"methodologies.":[17],"The":[18,108,242],"aim":[19],"of":[20,34,54,87,92,158,171,189,234,245,261],"this":[21],"study":[22],"was":[23,49,81,151,216,250,263],"develop":[25],"test":[27,78],"a":[28,84,179,232,285],"Bayesian":[29,149,291],"approach":[30],"for":[31,74,120,161,183,227,258,278,287],"continuous":[32],"monitoring":[33,260],"outcomes":[36,60,303],"using":[37],"information":[38],"easily":[39],"obtained":[40],"from":[41,62,83,231,265],"the":[42,52,70,88,117,121,133,139,155,175,187,209,220,224,275],"electronic":[43,63],"medical":[44,64,90,134],"record.":[45],"METHODS:":[46],"An":[47],"algorithm":[48],"developed":[50],"with":[51,163],"assistance":[53],"artificial":[55],"intelligence":[56],"extract":[58],"surgical":[59,95],"data":[61,79,308],"records":[65,91],"then":[68],"calculate":[69],"posterior":[71,156],"probability":[72,157,170,276,293],"distribution":[73,277],"complication":[75,159,172,185],"occurrence.":[76],"A":[77,167,256,290],"set":[80],"created":[82],"retrospective":[85,266],"analysis":[86],"complete":[89],"patients":[93,195],"receiving":[94],"care":[96],"at":[97],"UCLA":[98],"Health":[99],"between":[100],"1":[101,145],"January":[102],"2016":[103,237],"22":[105],"September":[106],"2024.":[107],"20":[109],"most":[110,210],"performed":[111],"inpatient":[112],"colorectal":[113,123,199],"operations":[114],"were":[115,127,193,208],"considered":[116],"index":[118,140],"cases":[119],"'major":[122],"procedures'":[124],"group.":[125],"Complications":[126],"identified":[128,270],"by":[129],"diagnostic":[130],"codes":[131],"in":[132,236,240,252,273,304],"record":[135],"attributed":[137],"procedure":[141],"if":[142],"diagnosed":[143],"within":[144],"year":[146],"after":[147],"surgery.":[148],"regression":[150],"determine":[154],"occurrence":[160,173],"comparison":[162],"pre-established":[164,282],"acceptability":[165],"thresholds.":[166],">":[168],"50%":[169],"exceeding":[174],"threshold":[176],"would":[177],"trigger":[178],"assurance":[181],"review":[182,229,249,309],"that":[184],"during":[186],"period":[188],"interest.":[190],"RESULTS:":[191],"There":[192],"747":[194],"who":[196],"underwent":[197],"major":[198],"operations.":[200],"Postoperative":[201],"ileus":[202],"(7.4%)":[203],"anastomotic":[205],"leak":[206],"(3.9%)":[207],"common":[211],"complications,":[212],"whereas":[213],"postoperative":[214],"bleeding":[215],"rare":[217],"(0.3%).":[218],"Of":[219],"ten":[221],"complications":[222,247,262,280],"tracked,":[223],"number":[225,244],"triggered":[226],"chart":[228,288],"ranged":[230],"low":[233],"two":[235],"six":[239],"2022.":[241],"largest":[243],"excess":[246],"triggering":[248],"three":[251],"any":[253],"year.":[254],"CONCLUSION:":[255],"system":[257],"real-time":[259,306],"modelled":[264],"data.":[267],"It":[268],"successfully":[269],"time":[271],"periods":[272],"which":[274],"experiencing":[279],"exceeded":[281],"thresholds,":[283],"identifying":[284],"need":[286],"review.":[289],"event":[292],"tracker":[294],"will":[295],"be":[296],"inexpensive":[297],"implement,":[299],"could":[300],"track":[301],"near":[305],"(facilitating":[307],"whenever":[310],"it":[311],"is":[312,315],"desired),":[313],"statistically":[316],"valid.":[317]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-07-21T00:00:00"}