Is transcription of data on antiretroviral treatment from electronic to paper-based registers reliable in Malawi?

Autor:	Gadabu OJ; Baobab Health Trust, Lilongwe, Malawi., Munthali CV; Baobab Health Trust, Lilongwe, Malawi., Zachariah R; Médecins Sans Frontières, Brussels, Belgium., Gudmund-Hinderaker S; Médecins Sans Frontières, Brussels, Belgium ; Center for International Health, University of Bergen, Bergen, Norway., Jahn A; Department of HIV/AIDS, Ministry of Health, Lilongwe, Malawi., Twea H; International Union Against Tuberculosis and Lung Disease, Paris, France ; The Lighthouse Trust, Lilongwe, Malawi., Gondwe A; Baobab Health Trust, Lilongwe, Malawi., Mumba S; Baobab Health Trust, Lilongwe, Malawi., Lungu M; Queen Elizabeth Central Hospital, Lilongwe, Malawi., Malisita K; Queen Elizabeth Central Hospital, Lilongwe, Malawi., Mhango E; Department of HIV/AIDS, Ministry of Health, Lilongwe, Malawi., Makombe SD; Department of HIV/AIDS, Ministry of Health, Lilongwe, Malawi., Tenthani L; Department of HIV/AIDS, Ministry of Health, Lilongwe, Malawi., Mwalwanda L; Centres for Disease Control and Prevention, Lilongwe, Malawi., Moyo C; Centre for Monitoring Evaluation Division, Ministry of Health, Lilongwe, Malawi., Douglas GP; Center for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Lewis ZL; Center for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Chimbwandira F; Department of HIV/AIDS, Ministry of Health, Lilongwe, Malawi.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2011 Sep 21; Vol. 1 (1), pp. 10-2.
DOI:	10.5588/pha.11.0002
Abstrakt:	Setting: Antiretroviral treatment (ART) clinics at one central hospital, three district hospitals and one mission hospital in the central and southern regions of Malawi. Objective: To measure the extent of inaccuracies in the transcription of case registration and recorded deaths between electronic medical data (EMR) and paper registers. This was done to inform the Ministry of Health on the reliability of the paper-based system as backup in case of EMR failure. Design: Retrospective analysis of routine programme data. Results: A total of 31 763 registrations and 2922 deaths in the EMR were compared with those in the paper registers. In one hospital, up to 24% of overall case registrations were missing from the paper registers. At other sites, the differences were minor and included duplicate patients who should have been classified as 'transfer in' patients in the paper register. There were major differences in the number of registered deaths in two of the five facilities. Conclusion: There are varying degrees of agreement between the EMR and paper registers which compromise the use of the latter as a backup solution in case of EMR failure. The reasons for this unreliability and ways forward to address the problem are discussed.
Databáze:	MEDLINE
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