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Is transcription of data on antiretroviral treatment from electronic to paper-based registers reliable in Malawi? | Journal Article / Research | MSF Science Portal
Journal Article
|Research

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

Gadabu OJ, Munthali CV, Zachariah R, Gudmund-Hinderaker S, Jahn A, Twea H, Gondwe A, Mumba S, Lungu M, Malisita K, Mhango E, Makombe SD, Tenthani L, Mwalwanda L, Moyo C, Douglas CP, Lewis ZL, Chimbwandira F
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Abstract
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.

Countries

Malawi

Subject Area

models of care

Languages

English
DOI
10.5588/pha.11.0002
Published Date
21 Sep 2011
PubMed ID
26392927
Journal
Public Health Action
Volume | Issue | Pages
Volume 1, Issue 1, Pages 10-12
Issue Date
2011-09-21
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