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Related Experiment Video

Updated: Feb 22, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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[Transregional tracking in newborn hearing screening].

P Matulat1, S Stroe2, A Am Zehnhoff-Dinnesen2

  • 1Klinik für Phoniatrie und Pädaudiologie, Universitätsklinikum Münster, Kardinal-von-Galen-Ring 10, 48149, Münster, Deutschland. matulat@uni-muenster.de.

HNO
|September 24, 2017
PubMed
Summary

Nationwide tracking of newborns in hearing screening programs is now possible across different regions. This solution enables seamless patient follow-up without requiring a standardized screening ID, improving data accuracy.

Keywords:
Data managementLost to follow-upNHSRecord linkageTracking

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Area of Science:

  • Public Health
  • Audiology
  • Health Informatics

Background:

  • Patient tracking in universal newborn hearing screening is fragmented when patients relocate.
  • Geographical relocation leads to loss to follow-up for infants in screening programs.
  • Existing tracking software lacks nationwide interoperability for transregional patient management.

Purpose of the Study:

  • To describe a concept for nationwide tracking of newborns in hearing screening programs.
  • To offer a solution for developers of tracking software to improve patient follow-up.
  • To evaluate the technical feasibility of a transregional tracking procedure.

Main Methods:

  • Development of a data preprocessing and interface integration strategy for tracking software.
  • Analysis of real-world screening data to identify and address potential errors.
  • Implementation of a stress test simulating nationwide data exchange between screening centers.

Main Results:

  • A simulation stress test involving six hearing screening centers and 54,551 children demonstrated high performance.
  • Average response time for tracking requests was 637 ms, indicating efficient data retrieval.
  • The system successfully identified anonymized surnames (1.24%) and duplicate entries (0.01%), enhancing data quality.

Conclusions:

  • Transregional tracking of patients is feasible with heterogeneous tracking software, even without a standardized screening ID.
  • The developed approach is conceptually sound and technically suitable for nationwide implementation.
  • This solution improves the continuity of care for newborns undergoing hearing screening.