Evaluating the accuracy of transcribed clinical data.
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.
Wilton
R
R
UCLA Department of Pediatrics.
Pennisi
A J
AJ
D002648:Child; D005568:Forms and Records Control; D006801:Humans; D007114:Immunization; D008491:Medical Informatics Applications; D008499:Medical Records / Q000592:standards*; D016347:Medical Records Systems, Computerized / Q000592:standards*; D015443:Word Processing