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Proceedings of the Annual Symposium on Computer Application in Medical Care logoLink to Proceedings of the Annual Symposium on Computer Application in Medical Care
. 1993:279–283.

Evaluating the accuracy of transcribed clinical data.

R Wilton 1, A J Pennisi 1
PMCID: PMC2248518  PMID: 8130478

Abstract

This study evaluated the accuracy of data transcribed into a computer-stored record from a handwritten listing of pediatric immunizations. The immunization records of 459 children seen in the UCLA Children's Health Center in March, 1993 were transcribed into a clinical computer system on an ongoing basis. Of these records, 27 (5.9%) were subsequently found to be inaccurate. Reasons for inaccuracy in the transcribed records included incomplete written records, incomplete transcription of written records, and unavailability of immunization records from multiple health-care providers. The utility of a computer-stored clinical record may be adversely affected by unavoidable inaccuracies in transcribed clinical data.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Jefferies S., McShane S., Oerton J., Victor C. R., Beardow R. Low immunization uptake rates in an inner-city health district: fact or fiction? J Public Health Med. 1991 Nov;13(4):312–317. [PubMed] [Google Scholar]
  2. Morris R. W., Lakhani A. D., Morgan M., Dale C., Vaile M. S. The role of information flow between health professionals and the Child Health Computer System in the uptake of measles immunisation. Community Med. 1988 Feb;10(1):40–47. doi: 10.1093/oxfordjournals.pubmed.a042377. [DOI] [PubMed] [Google Scholar]
  3. Murchie C. J., Kenny G. N. Comparison of keyboard, light pen and voice recognition as methods of data input. Int J Clin Monit Comput. 1988;5(4):243–246. doi: 10.1007/BF02915914. [DOI] [PubMed] [Google Scholar]
  4. Payne T., Kanvik S., Seward R., Beeman D., Salazar A., Miller Z., Immanuel V., Thompson R. S. Development and validation of an immunization tracking system in a large health maintenance organization. Am J Prev Med. 1993 Mar-Apr;9(2):96–100. [PubMed] [Google Scholar]
  5. Pennington E., Wilcox R. M. Immunization, practice records and the white paper. J R Coll Gen Pract. 1988 Nov;38(316):515–516. [PMC free article] [PubMed] [Google Scholar]
  6. Ramsay A., Peterson T., Earle D. Improving the accuracy of the computerized medical record. Top Health Rec Manage. 1989 Sep;10(1):29–35. [PubMed] [Google Scholar]
  7. Schwartz R. J., Weiss K. M., Buchanan A. V. Error control in medical data. MD Comput. 1985 Mar-Apr;2(2):19–25. [PubMed] [Google Scholar]

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