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    Jan 27, 2021
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    Effects of real-time electronic data entry on HIV programme data quality in Lusaka, Zambia

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    Moomba et al 2020 Effects of ...
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    Authors
    Moomba, K
    Williams, A
    Savory, T
    Lumpa, M
    Chilembo, P
    Tweya, H
    Harries, AD
    Herce, M
    Issue Date
    2020-03-21
    Submitted date
    2020-07-10
    
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    Journal
    Public Health Action
    Abstract
    Setting: Human immunodeficiency virus (HIV) clinics in five hospitals and five health centres in Lusaka, Zambia, which transitioned from daily entry of paper-based data records to an electronic medical record (EMR) system by dedicated data staff (Electronic-Last) to direct real-time data entry into the EMR by frontline health workers (Electronic-First). Objective: To compare completeness and accuracy of key HIV-related variables before and after transition of data entry from Electronic-Last to Electronic-First. Design: Comparative cross-sectional study using existing secondary data. Results: Registration data (e.g., date of birth) was 100% complete and pharmacy data (e.g., antiretroviral therapy regimen) was 90% complete under both approaches. Completeness of anthropometric and vital sign data was 75% across all facilities under Electronic-Last, and this worsened after Electronic-First. Completeness of TB screening and World Health Organization clinical staging data was also 75%, but improved with Electronic-First. Data entry errors for registration and clinical consultations decreased under Electronic-First, but errors increased for all anthropometric and vital sign variables. Patterns were similar in hospitals and health centres. Conclusion: With the notable exception of clinical consultation data, data completeness and accuracy did not improve after transitioning from Electronic-Last to Electronic-First. For anthropometric and vital sign variables, completeness and accuracy decreased. Quality improvement interventions are needed to improve Electronic-First implementation.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/619685
    DOI
    10.5588/pha.19.0068
    PubMed ID
    32368524
    Type
    Article
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.19.0068
    Scopus Count
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    Operational Research Courses

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