I've found the "surveillance" package useful for monitoring walk-in clinic visits in our county as the influenza pandemic evolved. It might serve your needs for monitoring IFI (invasive fungal infections?) in your hospital.

--Chris
Christopher W. Ryan, MD
SUNY Upstate Medical University Clinical Campus at Binghamton
425 Robinson Street, Binghamton, NY  13904
cryanatbinghamtondotedu

"If you want to build a ship, don't drum up the men to gather wood, divide the work and give orders. Instead, teach them to yearn for the vast and endless sea." [Antoine de St. Exupery]

Achim Zeileis wrote:
On Sun, 7 Mar 2010, sdzhangping wrote:

Dear friends:
I have just read an article entitled " Monitoring of nosocomial invasive aspergillosis and early evidence of an outbreak using cumulative sum tests (CUSUM)", which is published in "Clinical Microbiology and Infection". We have great need to estimate the fluctuation of incidence of IFI in our hospital. But I don't know the details of the stastical method and don't know where can I get a "Cusum" package. Can you give me some materials about Cusum test? An example is more appreciated.

There are many techniques with the label CUSUM and I didn't look up what the specific meaning is in the article you cite. There are tests based on (mostly linear) regression models with that label, many (but not all conceivable) of these are implemented in the "strucchange" package. See
  vignette("strucchange-intro", package = "strucchange")
as well as
  citation("strucchange")
for pointers to papers explaining the ideas behind it. But beyond that there are also other techniques, in particular from statistical process control. See the "spc", "qcc", "IQCC" packages among others.

hth,
Z

Yours sincerely Ping Zhang
March 7, 2010
    [[alternative HTML version deleted]]

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