Modification of infant hypothyroidism and phenylketonuria screening program using electronic tools.
Behjat Taheri1, Asefeh Haddadpoor2, Mahmood Mirkhalafzadeh2
1Department of Scientometrics, Vice-Chancellery for Research, Isfahan University of Medical Sciences, Isfahan, Iran.
Journal of Education and Health Promotion
|May 27, 2017
Summary
This study developed new software to improve infant screening for congenital hypothyroidism and phenylketonuria (PKU), reducing errors and enhancing data accuracy for better infant health outcomes.
Area of Science:
- Medical Informatics
- Public Health
- Pediatrics
Background:
- Congenital hypothyroidism and phenylketonuria (PKU) are leading causes of preventable mental retardation in infants globally.
- Current screening programs face challenges including high costs, reduced precision, and potential for undiagnosed cases, impacting infant development and societal burden.
- Effective information systems are crucial for managing and enhancing healthcare quality in newborn screening.
Purpose of the Study:
- To enhance the screening process for congenital hypothyroidism and phenylketonuria (PKU) in infants using electronic resources.
- To address limitations and improve the quality, efficiency, and management of infant screening programs.
Main Methods:
- A qualitative, action research approach was employed to improve screening quality, services, performance, and management.
- Development of a web-based software application using Delphi.net and SQL Server 2008 for database management.
- The software was designed with three-tiered input/output levels: Healthcare Centers, Provincial Reference Laboratory, and Health and Treatment Network.
Main Results:
- Successfully designed and implemented screening software for congenital hypothyroidism and PKU in Isfahan province infants.
- Key features include immediate data registration at sampling, real-time sample monitoring, online verification, automated result entry, and daily scheduling for the reference lab.
- The system enables instant observation and follow-up of samples by relevant health authorities.
Conclusions:
- Implementation of the screening software significantly increased the quality and efficiency of the screening program.
- Minimized human error, resolved previous program limitations, and improved the precision and quality of services for hypothyroidism and PKU screening.
- Enhanced data input accuracy, facilitated data-driven management, developed a comprehensive database, and improved service recipient satisfaction.


