Lessons learned from the development and implementation of an electronic paediatric emergency and acute care database in Lilongwe, Malawi.

BMJ Global Health
Emily J CicconeElizabeth F Fitzgerald

Abstract

As the field of global child health increasingly focuses on inpatient and emergency care, there is broad recognition of the need for comprehensive, accurate data to guide decision-making at both patient and system levels. Limited financial and human resources present barriers to reliable and detailed clinical documentation at hospitals in low-and-middle-income countries (LMICs). Kamuzu Central Hospital (KCH) is a tertiary referral hospital in Malawi where the paediatric ward admits up to 3000 children per month. To improve availability of robust inpatient data, we collaboratively designed an acute care database on behalf of PACHIMAKE, a consortium of Malawi and US-based institutions formed to improve paediatric care at KCH. We assessed the existing health information systems at KCH, reviewed quality care metrics, engaged clinical providers and interviewed local stakeholders who would directly use the database or be involved in its collection. Based on the information gathered, we developed electronic forms collecting data at admission, follow-up and discharge for children admitted to the KCH paediatric wards. The forms record demographic information, basic medical history, clinical condition and pre-referral management; track d...Continue Reading

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Citations

Sep 9, 2021·Paediatrics and International Child Health·Bryan J VonasekUNKNOWN Pediatric Alliance for Child Health Improvement in Malawi at Kamuzu Central Hospital and Environs (PACHIMAKE)

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Software Mentioned

REDCap
Spreadsheet
Research Electronic Data Capture ( REDCap )
PACHIMAKE
ETAT

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