Difference between revisions of "Journal:Development of an electronic information system for the management of laboratory data of tuberculosis and atypical mycobacteria at the Pasteur Institute in Côte d’Ivoire"

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Tuberculosis remains a public health problem despite all efforts to eradicate it. According to the World Health Organization (WHO), the number of tuberculosis cases in the world was estimated 9.6 million in 2014.<ref name="WHOWorld16">{{cite book |title=Global Tuberculosis Report 2016 |author=Wourld Health organization |publisher=World Health Organization |pages=214 |year=2016 |isbn=9789241565394 |url=http://apps.who.int/medicinedocs/en/d/Js23098en/ |accessdate=04 October 2017}}</ref> To strengthen the surveillance system for this disease, we need to have a good data management system.  
Tuberculosis remains a public health problem despite all efforts to eradicate it. According to the World Health Organization (WHO), the number of tuberculosis cases in the world was estimated 9.6 million in 2014.<ref name="WHOWorld16">{{cite book |title=Global Tuberculosis Report 2016 |author=Wourld Health organization |publisher=World Health Organization |pages=214 |year=2016 |isbn=9789241565394 |url=http://apps.who.int/medicinedocs/en/d/Js23098en/ |accessdate=04 October 2017}}</ref> To strengthen the surveillance system for this disease, we need to have a good data management system.  


The use of electronic information systems can improve the quality of clinical data (2) and thus the management of patients. Studies have shown that the implementation of computer tools is a performance factor for laboratory activities (3). The results of laboratory analyses provide important data for clinical decision-making and treatment. Effective management of this data is essential for strengthening the health care system as a whole.  
The use of electronic information systems can improve the quality of clinical data<ref name="CastelnuovoImp12">{{cite journal |title=Implementation of provider-based electronic medical records and improvement of the quality of data in a large HIV program in Sub-Saharan Africa |journal=PLoS One |author=Castelnuovo, B.; Kiragga, A.; Afayo, V. et al. |volume=7 |issue=12 |pages=e51631 |year=2012 |doi=10.1371/journal.pone.0051631 |pmid=23284728 |pmc=PMC3524185}}</ref> and thus the management of patients. Studies have shown that the implementation of computer tools is a performance factor for laboratory activities.<ref name="RhoadsClin14">{{cite journal |title=Clinical microbiology informatics |journal=Clinical Microbiology Reviews |author=Rhoads, D.D.; Sintchenko, V.; Rauch, C.A. et al. |volume=27 |issue=4 |pages=1025-47 |year=2014 |doi=10.1128/CMR.00049-14 |pmid=25278581 |pmc=PMC4187636}}</ref> The results of laboratory analyses provide important data for clinical decision-making and treatment. Effective management of this data is essential for strengthening the health care system as a whole.  


Laboratory information systems have been developed and used for about half a century (3, 4). Like all laboratory information systems, the microbiology laboratory information system must be secure, user- friendly and able to interact with other information systems. However, there are several unique features of microbiology that are not used in other clinical laboratories, i.e. tracking multiple drifts, laboratory electronic notes, reporting results, and taking the preliminary and final results into account (3).  
Laboratory information systems have been developed and used for about half a century.<ref name="RhoadsClin14" /><ref name="El-KarehImpact12">{{cite journal |title=Impact of automated alerts on follow-up of post-discharge microbiology results: a cluster randomized controlled trial |journal=Journal of General Internal Medicine |author=El-Kareh, R.; Roy, C.; Williams, D.H. et al. |volume=27 |issue=10 |pages=1243-50 |year=2012 |doi=10.1007/s11606-012-1986-8 |pmid=22278302 |pmc=PMC3445692}}</ref> Like all laboratory information systems, the microbiology laboratory information system must be secure, user-friendly, and able to interact with other information systems. However, there are several unique features of microbiology that are not used in other [[Clinical laboratory|clinical laboratories]], i.e., tracking multiple drifts, laboratory electronic notes, reporting results, and taking the preliminary and final results into account.<ref name="RhoadsClin14" />
 
The strategic plan of development of e-health has been defined and is being implemented.<ref name="OrdrePlan17">{{cite web |url=http://doczz.fr/doc/3118472/pdncs-ci---order-national-des-des-decins-de-ivoire-divoire |title=Plan Strategique de Cybersante |author=Ordre National Des Medecins de Côte d’Ivoire |date=2017 |accessdate=15 January 2018}}</ref> All health facilities have to implement an electronic information system for better management of data generated by their activities.
 
The purpose of this project was to set up a laboratory information system (LIS) at Institute Pasteur of Côte d’Ivoire to collect specific data for ''Mycobacterium tuberculosis''. This LIS will allow the recording of the data resulting from the activities of the laboratory. It should also allow for the generation of results that are ultimately given to the patient as well as the generation of reports on the activities of the laboratory. Finally, an analysis of the impact of this new system in the laboratory routine was carried out.  


The strategic plan of development of e-health has been defined and is being implemented (5). All health facilities have to implement an electronic information system for better management of data generated by their activities.


The purpose of this project was to set up a Laboratory Information System (LIS) at Institute  Pasteur of Côte d’Ivoire to collect specific data for mycobacteria Tuberculous. This LIS will allow the recording of the data resulting from the activities of the laboratory. It should also allow for the generation of results that are ultimately given to the patient as well as the generation of reports on the activities of the laboratory. Finally, an analysis of the impact of this new system in the laboratory routine was carried out.


==References==
==References==

Revision as of 19:49, 14 January 2019

Full article title Development of an electronic information system for the management of laboratory data of tuberculosis and atypical mycobacteria at the Pasteur Institute in Côte d’Ivoire
Journal Journal of Health Management and Informatics
Author(s) Koné, Constant J.; Touré, Assata; N’Dri, Mathias K.; Nguessan, Raymond; Soumahoro, Man-Koumba
Author affiliation(s) Pasteur Institute of Côte d’Ivoire
Primary contact Email: koneconstant at pasteur dot ci
Year published 2018
Volume and issue 6(1)
Page(s) 1–6
DOI None
ISSN 2423-5857
Distribution license Creative Commons Attribution 3.0 Unported
Website http://jhmi.sums.ac.ir/index.php/JHMI/article/view/513/160
Download http://jhmi.sums.ac.ir/index.php/JHMI/article/download/513/160 (PDF)

Abstract

Introduction: Tuberculosis remains a public health problem despite all the efforts made to eradicate it. To strengthen the surveillance system for this condition, it is necessary to have a good data management system. Indeed, the use of electronic information systems in data management can improve the quality of data. The objective of this project was to set up a laboratory-specific electronic information system for mycobacteria and atypical tuberculosis.

Methods: The design of this laboratory information system required a general understanding of the workflow and the implementation processes in order to generate a realistic model. For the implementation of the system, Java technology was used to develop a web application compatible with the intranet of the company. The impact and the acceptability of the use of the system on the running of the laboratory were evaluated using the Likert scale.

Results: The system in place has been in operation for about 12 months, in conjunction with the paper registers. Since then, 4811 requests for examinations concerning 6083 samples have been registered. The results of analysis of 3892 patients were printed from the laboratory information system. In order to produce tuberculosis drug resistance reports and laboratory performance reports, dashboards have been developed.

Conclusion: The system has been adopted by the staff because of the time and efficiency gained in managing laboratory data. However, obtaining an optimized tool will only be done in a cycle of sustained improvement.

Keywords: clinical laboratory information systems, public health, tuberculosis

Introduction

Tuberculosis remains a public health problem despite all efforts to eradicate it. According to the World Health Organization (WHO), the number of tuberculosis cases in the world was estimated 9.6 million in 2014.[1] To strengthen the surveillance system for this disease, we need to have a good data management system.

The use of electronic information systems can improve the quality of clinical data[2] and thus the management of patients. Studies have shown that the implementation of computer tools is a performance factor for laboratory activities.[3] The results of laboratory analyses provide important data for clinical decision-making and treatment. Effective management of this data is essential for strengthening the health care system as a whole.

Laboratory information systems have been developed and used for about half a century.[3][4] Like all laboratory information systems, the microbiology laboratory information system must be secure, user-friendly, and able to interact with other information systems. However, there are several unique features of microbiology that are not used in other clinical laboratories, i.e., tracking multiple drifts, laboratory electronic notes, reporting results, and taking the preliminary and final results into account.[3]

The strategic plan of development of e-health has been defined and is being implemented.[5] All health facilities have to implement an electronic information system for better management of data generated by their activities.

The purpose of this project was to set up a laboratory information system (LIS) at Institute Pasteur of Côte d’Ivoire to collect specific data for Mycobacterium tuberculosis. This LIS will allow the recording of the data resulting from the activities of the laboratory. It should also allow for the generation of results that are ultimately given to the patient as well as the generation of reports on the activities of the laboratory. Finally, an analysis of the impact of this new system in the laboratory routine was carried out.


References

Notes

This presentation is faithful to the original, with only a few minor changes to presentation, spelling, and grammar. We also added PMCID and DOI when they were missing from the original reference.