Evidence map›Paper›PMID 17963522›Full record

ArticleBMC medical informatics and decision making2007

A web-based laboratory information system to improve quality of care of tuberculosis patients in Peru: functional requirements, implementation and usage statistics.

Joaquin A Blaya, Sonya S Shin, Martin J A Yagui, Gloria Yale, Carmen Z Suarez, Luis L Asencios, J Peter Cegielski, Hamish S F Fraser

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Electronic laboratory system reduces errors in National Tuberculosis Program: a cluster randomized controlled trial.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2010
    Trial
  3. Personal digital assistants to collect tuberculosis bacteriology data in Peru reduce delays, errors, and workload, and are acceptable to users: cluster randomized controlled trial.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2009
    Trial
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  11. Review
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  15. Salvage therapy for multidrug-resistant tuberculosis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2014
    Article
  16. Processing medical data: a systematic review.Archives of public health = Archives belges de sante publique · 2013
    Article
  17. Validation of sputum smear results in the Electronic TB Register for the management of tuberculosis, South Africa.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2013
    Article
  18. Article
  19. Impact of rapid drug susceptibility testing for tuberculosis: program experience in Lima, Peru.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2012
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Joaquin A Blaya1Division of Health Sciences & Technology, Harvard Medical School-MIT, 77 Massachusetts Ave. Cambridge, MA 02139, USA. jblaya@mit.edu
Sonya S Shin
Martin J A Yagui
Gloria Yale
Carmen Z Suarez
Luis L Asencios
J Peter Cegielski
Hamish S F Fraser
Instituto Nacional de Salud · PEPartners In Health · USCenters for Disease Control and Prevention · USDirección Regional de Salud del Callao · PEHarvard University · US

Funding

Evaluation of MDR-TB Treatment Strategies in Lima, PeruK23AI054591 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI SHIN, SONYA S · 2004 to 2006
$331k
NIAID NIH HHS K23 AI054591
6 · The paper itself

Abstract

backgroundMulti-drug resistant tuberculosis patients in resource-poor settings experience large delays in starting appropriate treatment and may not be monitored appropriately due to an overburdened laboratory system, delays in communication of results, and missing or error-prone laboratory data. The objective of this paper is to describe an electronic laboratory information system implemented to alleviate these problems and its expanding use by the Peruvian public sector, as well as examine the broader issues of implementing such systems in resource-poor settings.

methodsA web-based laboratory information system "e-Chasqui" has been designed and implemented in Peru to improve the timeliness and quality of laboratory data. It was deployed in the national TB laboratory, two regional laboratories and twelve pilot health centres. Using needs assessment and workflow analysis tools, e-Chasqui was designed to provide for improved patient care, increased quality control, and more efficient laboratory monitoring and reporting.

resultsSince its full implementation in March 2006, 29,944 smear microscopy, 31,797 culture and 7,675 drug susceptibility test results have been entered. Over 99% of these results have been viewed online by the health centres. High user satisfaction and heavy use have led to the expansion of e-Chasqui to additional institutions. In total, e-Chasqui will serve a network of institutions providing medical care for over 3.1 million people. The cost to maintain this system is approximately US$0.53 per sample or 1% of the National Peruvian TB program's 2006 budget.

conclusionElectronic laboratory information systems have a large potential to improve patient care and public health monitoring in resource-poor settings. Some of the challenges faced in these settings, such as lack of trained personnel, limited transportation, and large coverage areas, are obstacles that a well-designed system can overcome. e-Chasqui has the potential to provide a national TB laboratory network in Peru. Furthermore, the core functionality of e-Chasqui as been implemented in the open source medical record system OpenMRS http://www.openmrs.org for other countries to use.

Indexed as

Program DevelopmentClinical Laboratory Information SystemsHealth Plan ImplementationHumansLaboratoriesMedically Underserved AreaNeeds AssessmentPeruPublic Health AdministrationQuality Assurance, Health CareTime FactorsTuberculosis, Multidrug-Resistant

Identifiers

PMID17963522
PMCPMC2198908
OpenAlexW2093693559

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.