TY  - JOUR
AU  - He, Yao
AU  - Kouabenan, Yves-Rolland
AU  - Assoa, Paul Henri
AU  - Puttkammer, Nancy
AU  - Wagenaar, Bradley H
AU  - Xiao, Hong
AU  - Gloyd, Stephen
AU  - Hoffman, Noah G
AU  - Komena, Pascal
AU  - Kamelan, N'zi Pierre Fourier
AU  - Iiams-Hauser, Casey
AU  - Pongathie, Adama Sanogo
AU  - Kouakou, Alain
AU  - Flowers, Jan
AU  - Abiola, Nadine
AU  - Kohemun, Natacha
AU  - Amani, Jean-Bernard
AU  - Adje-Toure, Christiane
AU  - Perrone, Lucy A
PY  - 2024
DA  - 2024/3/20
TI  - Laboratory Data Timeliness and Completeness Improves Following Implementation of an Electronic Laboratory Information System in Côte d’Ivoire: Quasi-Experimental Study on 21 Clinical Laboratories From 2014 to 2020
JO  - JMIR Public Health Surveill
SP  - e50407
VL  - 10
KW  - clinical laboratory
KW  - electronic laboratory information system
KW  - data quality
KW  - evaluation
KW  - impact evaluation
KW  - time series
KW  - laboratory
KW  - information system
KW  - information systems
KW  - HIV
KW  - sexually transmitted infection
KW  - sexually transmitted disease
KW  - sexually transmitted
KW  - lab
KW  - labs
KW  - adoption
KW  - implementation
KW  - effectiveness
AB  - Background: The Ministry of Health in Côte d'Ivoire and the International Training and Education Center for Health at the University of Washington, funded by the United States President’s Emergency Plan for AIDS Relief, have been collaborating to develop and implement the Open-Source Enterprise-Level Laboratory Information System (OpenELIS). The system is designed to improve HIV-related laboratory data management and strengthen quality management and capacity at clinical laboratories across the nation. Objective: This evaluation aimed to quantify the effects of implementing OpenELIS on data quality for laboratory tests related to HIV care and treatment. Methods: This evaluation used a quasi-experimental design to perform an interrupted time-series analysis to estimate the changes in the level and slope of 3 data quality indicators (timeliness, completeness, and validity) after OpenELIS implementation. We collected paper and electronic records on clusters of differentiation 4 (CD4) testing for 48 weeks before OpenELIS adoption until 72 weeks after. Data collection took place at 21 laboratories in 13 health regions that started using OpenELIS between 2014 and 2020. We analyzed the data at the laboratory level. We estimated odds ratios (ORs) by comparing the observed outcomes with modeled counterfactual ones when the laboratories did not adopt OpenELIS. Results: There was an immediate 5-fold increase in timeliness (OR 5.27, 95% CI 4.33-6.41; P<.001) and an immediate 3.6-fold increase in completeness (OR 3.59, 95% CI 2.40-5.37; P<.001). These immediate improvements were observed starting after OpenELIS installation and then maintained until 72 weeks after OpenELIS adoption. The weekly improvement in the postimplementation trend of completeness was significant (OR 1.03, 95% CI 1.02-1.05; P<.001). The improvement in validity was not statistically significant (OR 1.34, 95% CI 0.69-2.60; P=.38), but validity did not fall below pre-OpenELIS levels. Conclusions: These results demonstrate the value of electronic laboratory information systems in improving laboratory data quality and supporting evidence-based decision-making in health care. These findings highlight the importance of OpenELIS in Côte d'Ivoire and the potential for adoption in other low- and middle-income countries with similar health systems. 
SN  - 2369-2960
UR  - https://publichealth.jmir.org/2024/1/e50407
UR  - https://doi.org/10.2196/50407
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38506899
DO  - 10.2196/50407
ID  - info:doi/10.2196/50407
ER  -