Barbara Castelnuovo|Agnes Kiragga|Victor Afayo|Malisa Ncube|Richard Orama|Stephen Magero|Peter Okwi|Yukari C. Manabe|Andrew Kambugu
Implementation of Provider-Based Electronic Medical Records and Improvement of the Quality of Data in a Large HIV Program in Sub-Saharan Africa
Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Makerere University|Infectious Diseases Institute|Johns Hopkins Medicine|Johns Hopkins University|Makerere University|Infectious Diseases Institute
starting june 2010 infectious diseases institute idi clinic large urban hiv outpatient facility switched providerbased electronic medical records emr paper emr entered database dataentry clerks standardized clinics forms eliminated providers still fill free text clinical notes physical patients files objective study compare rate errors database introduction providerbased emrdata database pre post providerbased emr compared information patients files classified correct incorrect missing calculated proportion incorrect missing total error key variables toxicities opportunistic infections reasons treatment change interruption proportions total errors compared using chisquare test survey users emr also conducted compared data 2382 visits 100 individuals retrospective validation conducted 2007 34957 visits 10920 individuals prospective validation conducted aprilaugust 2011 total proportion errors decreased 665 2007 21 2011 opportunistic infections 519 35 art toxicity 828 125 reasons art interruption 941 09 reasons art switch p00001 survey showed 83 providers agreed providerbased emr led improvement clinical care 80 reported improved access patients records 80 appreciated automation providers tasksthe introduction providerbased emr improved quality data collected significant reduction missing incorrect information majority providers clients expressed satisfaction new system recommend use providerbased emr large hiv programs subsaharan africa