{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T09:14:22Z","timestamp":1759742062534,"version":"3.40.5"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T00:00:00Z","timestamp":1636502400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X2100461X_as1\"><jats:title>Objective:<\/jats:title><jats:p>To investigate the effectiveness of a daily attestation system used by employees of a multi-institutional academic medical center, which comprised of symptom-screening, self-referrals to the Occupational Health Services team, and\/or a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) test.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100461X_as2\"><jats:title>Design:<\/jats:title><jats:p>We conducted a retrospective cohort study of all employee attestations and SARS-CoV-2 tests performed between March and June 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100461X_as3\"><jats:title>Setting:<\/jats:title><jats:p>A large multi-institutional academic medical center, including both inpatient and ambulatory settings.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100461X_as4\"><jats:title>Participants:<\/jats:title><jats:p>All employees who worked at the study site.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100461X_as5\"><jats:title>Methods:<\/jats:title><jats:p>Data were combined from the attestation system (COVIDPass), the employee database, and the electronic health records and were analyzed using descriptive statistics including \u03c7<jats:sup>2<\/jats:sup>, Wilcoxon, and Kruskal-Wallis tests. We investigated whether an association existed between symptomatic attestations by the employees and the employee testing positive for SARS-CoV-2.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100461X_as6\"><jats:title>Results:<\/jats:title><jats:p>After data linkage and cleaning, there were 2,117,298 attestations submitted by 65,422 employees between March and June 2020. Most attestations were asymptomatic (99.9%). The most commonly reported symptoms were sore throat (n = 910), runny nose (n = 637), and cough (n = 570). Among the 2,026 employees who ever attested that they were symptomatic, 905 employees were tested within 14 days of a symptomatic attestation, and 114 (13%) of these tests were positive. The most common symptoms associated with a positive SARS-CoV-2 test were anosmia (23% vs 4%) and fever (46% vs 19%).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100461X_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>Daily symptom attestations among healthcare workers identified a handful of employees with COVID-19. Although the number of positive tests was low, attestations may help keep unwell employees off campus to prevent transmissions.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2021.461","type":"journal-article","created":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T02:25:15Z","timestamp":1636511115000},"page":"1656-1660","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Coronavirus disease 2019 (COVID-19) screening system utilizing daily symptom attestation helps identify hospital employees who should be tested to protect patients and coworkers"],"prefix":"10.1017","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9379-0192","authenticated-orcid":false,"given":"Ellen","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles A.","family":"Morris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8641-4498","authenticated-orcid":false,"given":"Michael","family":"Klompas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haipeng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam B.","family":"Landman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Eappen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Hopcia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean M.","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9004-7149","authenticated-orcid":false,"given":"Hojjat","family":"Salmasian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,11,10]]},"reference":[{"key":"S0899823X2100461X_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1802-y"},{"key":"S0899823X2100461X_ref4","article-title":"A framework for evaluating approaches to symptom screening in the workplace during the COVID-19 pandemic","author":"Gidengil","year":"2020","journal-title":"RAND Perspect"},{"key":"S0899823X2100461X_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.1428"},{"key":"S0899823X2100461X_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e328349f067"},{"key":"S0899823X2100461X_ref1","unstructured":"1. Kelley, E. Hospital visitor restrictions guidance, March 16, 2020. Massachusetts state government website. https:\/\/www.mass.gov\/doc\/hospital-visitor-restrictions-guidance-march-16-2020\/download. Published March 16, 2020. Accessed November 8, 2021."},{"key":"S0899823X2100461X_ref8","article-title":"COVID-19 diagnostic clinical decision support: a pre\u2013post implementation study of CORAL (COvid Risk cALculator)","author":"Dugdale","year":"2021","journal-title":"Clin Infect Dis"},{"key":"S0899823X2100461X_ref5","doi-asserted-by":"publisher","DOI":"10.7326\/M20-7567"},{"key":"S0899823X2100461X_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1422-x"},{"key":"S0899823X2100461X_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa799"},{"key":"S0899823X2100461X_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004483"},{"key":"S0899823X2100461X_ref2","doi-asserted-by":"publisher","DOI":"10.2196\/19533"},{"key":"S0899823X2100461X_ref14","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.13782"},{"key":"S0899823X2100461X_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.1998"},{"key":"S0899823X2100461X_ref9","doi-asserted-by":"publisher","DOI":"10.1038\/d41586-021-00055-6"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X2100461X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T09:38:25Z","timestamp":1668677905000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X2100461X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,10]]},"references-count":14,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S0899823X2100461X"],"URL":"https:\/\/doi.org\/10.1017\/ice.2021.461","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"type":"print","value":"0899-823X"},{"type":"electronic","value":"1559-6834"}],"subject":[],"published":{"date-parts":[[2021,11,10]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}