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There are some dento-legal mantras that have, by default, come to be understood as the truth, for example: “If it ain't in the notes, it didn't happen” and “Good records, good defence; poor records, poor defence; no records, no defence.” The opposite view was offered by the trial judge in a dental clinical negligence case in recent years. The judge's view can be summed up as: “If you don't make a note of something that has happened, you leave yourself at risk of proceedings like these.”

Through case study analysis of physicists working in quantum systems, we establish that knowledge of systems engineering (SE) will benefit scientists by ensuring that experimental apparatus is robust and fully meets the experiment requirements. We suggest a significant change in the training of early career research scientists to ensure that they have a strong appreciation of the systems approach and experience of applying SE techniques. Two case studies were used: the first was a detailed analysis of increasing levels of SE in the development of a three-dimensional (3-D) printer for fabricating superconducting nanocircuitry. Applying SE techniques improved record keeping, reduced the risk of failure modes, and took better account of future development through which scientific discovery may be exploited in practical devices. The second case study focused on a group of 30 quantum physics Ph.D. students undertaking a short-course in basic SE, and used their opinions to check and add confidence to the findings of the first case study. A variety of tools were used in both studies and, in both the cases, the Functional Failure Means Effects Analysis technique was considered by participants to be most useful. Recommendations are made for the future training of early career scientists to include some light-weight SE.

It is well-recognised that micro and small enterprises (MSEs) are acting as specialist and soul of economic growth in India as well as in the world. MSEs are lifeblood of most economies and play a dominant role in the economic development of a country. Research on micro and small business development has shown that the rate of failure in developing countries is higher than in the developed world (Arinaitwe, 2006). The past studies indicate that three out of five businesses fail within the first few months of operation. A study by Peacock (1987) found that the lack of accounting records have led to the failure of these enterprises. This research study investigated the impact of record keeping on the growth of MSEs in the Cachar district of Assam. The objectives of the study were to analyse the relationship between record keeping practice and the growth of MSEs in the study area and to identify the status of record keeping in MSEs in the study area. To achieve these objectives, a sample of 93 entrepreneurs were selected from the targeted population. Primary data were collected by means of structured questionnaire. For data analysis, the study used descriptive statistics, and ‘Pearson’ correlation was used to establish the relationship between the dependent and independent variables. The finding of the study shows that there is a significance positive strong relationship between record keeping practice and growth of the MSEs in the study area.

Metal detecting is a popular hobby in England and Wales, and, since 1997, over 1.3 million finds have been recorded by the Portable Antiquities Scheme (PAS), a scheme to encourage the voluntary recording of artifacts found by the public. The metal detector can be a useful archaeological tool when used lawfully and responsibly; however, it is also a tool that is used for illicit purposes by individuals and groups wishing to obtain artifacts from archaeological sites on which they have no permission to detect. Information on the number and nature of incidents of illicit metal detecting, however, is difficult to collate owing both to the nature of the crime and to the way it is recorded (or not) by law enforcement authorities. In this article, we examine the strengths and limitations of the available official and unofficial sources on illicit metal detecting in England and Wales and explore the potential they have to tell us about current trends in this form of heritage crime. The first unofficial source is a list of incidents reported to Historic England, which contains basic information on 276 incidents recorded between 2010 and 2017. The second source is the result of a survey of the PAS’s finds liaison officers regarding the extent to which they assisted law enforcement authorities for the years from 2015 to 2017. Both sources were then contrasted with a freedom of information request that was sent to all 49 police forces in the United Kingdom. Although there are some synergies between the unofficial and official sources, the lack of detail in any one dataset makes them of limited use in demonstrating trends in the macro- and micro-scales of time and place. Accordingly, many of the issues highlighted in this article could be resolved by devising a better system for police record keeping of metal detecting offences.

The German Democratic Republic (GDR) State Security Service (Stasi) had to archive vast amounts of data about the everyday lives of GDR citizens. Simplifications and reductions are common features of record-keeping in every institution and there was considerable variation in how detailed the Stasi records of wiretapped phone conversations were. The special focus of this study is the detail that shapes phone records into powerful objects of knowledge among other documentary genres of the Stasi archive. The article describes, in the context of suspicion, how decisions were made about the level of detail in the records given the information overflow, and which communicative and institutional tasks were solved using the different levels of detail in the textualization. Records fulfilled the function of (subjective) information selection for the creation of such categories as ‘strange’, ‘dangerous’, ‘suspicious’ and ‘guilty’. Objectifying practices were necessary to legitimize the records as objective proof of suspicion. The ‘subjective–objective’ relationship turns from a dichotomy to a co-presence within one record and serves to legitimize the record as evidence.

Purpose The purpose of this paper is to develop a model for autonomous cars to establish trusted parties by combining distributed ledgers and self-driving cars in the traffic to provide single version of the truth and thus build public trust. Design/methodology/approach The model, which the authors call Witness of Things, is based on keeping decision logs of autonomous vehicles in distributed ledgers through the use of vehicular networks and vehicle-to-vehicle/vehicle-to-infrastructure (or vice versa) communications. The model provides a single version of the truth and thus helps enable the autonomous vehicle industry, related organizations and governmental institutions to discover the true causes of road accidents and their consequences in investigations. Findings In this paper, the authors explored one of the potential effects of blockchain protocol on autonomous vehicles. The framework provides a solution for operating autonomous cars in an untrusted environment without needing a central authority. The model can also be generalized and applied to other intelligent unmanned systems. Originality/value This study proposes a blockchain protocol-based record-keeping model for autonomous cars to establish trusted parties in the traffic and protect single version of the truth.

Background: Blood Bank record keeping has been carried out manually over the past decades using paper file management system which is slow for information retrieval and processing and also prone to errors in an emergency situation. Materials and methods: This research work solves the above-mentioned problem with the development of both web-based and Android-based blood bank information retrieval system. The web application is used by various blood banks system administrators to update their available blood inventory information and the mobile application which has the mobile search engine is used to search for blood supplies from the registered blood banks. Results and conclusion: The system also has a feature that allows registered blood banks to send a notification to registered blood donors on the application requesting for blood donation. Keywords: blood bank, web-based, Android-based, information, retrieval

The present investigation was done to assess the different practices followed by the AI technicians (paravets) while performing Artificial Insemination (AI). A total of 160 paravets were selected for the study having equal representation from 4 different states of India (Gujarat, Rajasthan, Telangana and Odisha). Questionnaire and telephonic survey was used for collecting data. Several practices followed by paravets were assessed under three sub-groups viz., practices followed prior to, during and post-artificial insemination. In as many as seven practices viz., gathering pre AI information, storage of semen straw, time of performing AI, thawing container, wiping of semen straw, cutting of semen straw and record keeping the adoption gap was found to be Nil. Maximum adoption gap (30.60 %) was seen in ‘adopting basic sanitary measures’. Whereas about 13 percent of adoption gap was found in case of ‘monitoring of heat post calving’ followed by ‘checking of heat prior to AI’ (8.00 %). Hence, along with provision of necessary measures for water bath, apron and gumboots by State Department of Animal Husbandry (SDAH), the paravets should be made aware about the importance of basic sanitary measures. Crystoscope availability should also be ensured as it is easy to use by paravets and farmers for heat detection.

Objective of Work: Wrong-site tooth extraction (WSTE) is the most common serious patient safety incident in dentistry. Safety checklists have significantly reduced wrong-site surgery, although their benefit is unproven in primary care dentistry. Our quality improvement project developed and implemented a checklist optimised for oral surgery procedures in primary care to reduce WSTE risk. Material and Methods: Local best practice for tooth extraction record-keeping (LBP), using national guidelines and standards was devised. We then retrospectively audited tooth extraction record-keeping against LBP. Deficiencies in current record-keeping practice were identified and used to design a checklist aimed at improving compliance. We provided a computerised safety checklist compliant with LBP to eleven clinicians at three general dental clinics within our region. The checklist included a preoperative safety check, a pause to re-confirm the surgical site and a post-operative record-keeping proforma. The checklist was linked to our record-keeping software for use during tooth extraction. We audited checklist completion and compliance with LBP fortnightly for ten weeks. Results: The introduction of a safety checklist resulted in increased compliance with LBP for tooth extraction record keeping. At week ten, 67% of records contained the computerised safety checklist. This resulted in a 50% increase in overall compliance with LBP for tooth extraction compared to baseline. Conclusions: A computerised safety checklist for tooth extraction in primary care has potential to improve patient safety by adopting measures to prevent WSTE and standardising communication between clinicians. Checklists in general practice should be encouraged., Svrha rada: Vađenje pogrešnoga zuba najčešći je ozbiljni incident u dentalnoj medicini. Sigurnosni kontrolni popisi znatno su smanjili učestalost takve pogreške iako u primarnoj stomatološkoj praksi nije dokazano ima li od njih koristi. U sklopu našeg projekta o poboljšanju kvalitete razvijen je i im-plementiran kontrolni popis prilagođen oralnim kirurškim zahvatima u primarnoj zaštiti kako bi se smanjio rizik od vađenja pogrešnoga zuba.Materijal i metode: Koristeći se nacionalnim smjernicama i standardima osmišljena je najbolja lokalna praksa za evidenciju vađenja zuba. Zatim je retrospe-ktivno revidirana evidencija o vađenju zuba. Uočeni su nedostatci u dosadašnjoj praksi vođenja evi-dencije što je iskorišteno za izradu kontrolnoga popisa sa svrhom poboljšanja usklađenosti. Jedan-aest kliničara u trima općim stomatološkim klinikama u našoj regiji dobilo je digitalni kontrolni popis u skladu s najboljom lokalnom praksom. Sadržavao je preoperativnu sigurnosnu provjeru, stanku za ponovnu potvrdu mjesta vađenja i postoperativnu evidenciju. Kontrolni popis bio je povezan s našim softverom za vođenje evidencije koji se upotrebljava tijekom vađenja zuba. Deset tjedana svakih pet-naest dana provjeravala se ispunjenost kontrolnih popisa i usklađenost s najboljom lokalnom prak-som. Rezultati: Primjena sigurnosnoga kontrolnoga popisa rezultirala je povećanom usklađenošću s najboljom lokalnom praksom za vođenje evidencije o vađenju zuba. U desetom tjednu 67 % zapisa sadržavalo je digitalnu sigurnosnu kontrolnu listu. To je rezultiralo povećanjem ukupne usklađenosti s najboljom lokalnom praksom vađenja zuba za 50 % u odnosu prema početnoj vrijednosti. Zaključ-ci: Digitalnim sigurnosnim kontrolnim popisom za vađenje zuba u primarnoj zdravstvenoj zaštiti mo-že se poboljšati sigurnost pacijenata ako se usvoje mjere za sprječavanje vađenja pogrešnoga zuba i standardizira komunikacija između kliničara. Treba poticati kontrolne liste u općoj praksi.

Electronic Medical Records (EMRs) are increasingly being deployed at primary points of care and clinics for digital record keeping, increasing productivity and improving communication. In practice, however, there still exists an often incomplete picture of patient profiles, not only because of disconnected EMR systems but also due to incomplete EMR data entry – often caused by clinician time constraints and lack of data entry restrictions. To complete a patient’s partial EMR data, we plausibly infer missing causal associations between medical EMR concepts, such as diagnoses and treatments, for situations that lack sufficient raw data to enable machine learning methods. We follow a knowledge-based approach, where we leverage open medical knowledge sources such as SNOMED-CT and ICD, combined with knowledge-based reasoning with explainable inferences, to infer clinical encounter information from incomplete medical records. To bootstrap this process, we apply a semantic Extract-Transform-Load process to convert an EMR database into an enriched domain-specific Knowledge Graph.

Project Management in India has been one of the most under rated aspect of a construction project. Until recently, it has been observed as more of a burden than being a powerful tool to complete the project efficiently and in a timely manner. Some of the major contributors in the above are adhering to multiple formats, extensive record keeping, processing Project Management data into Project Management information, analyzing the outcomes and implementing improvements at site, etc. However, with rapid globalization, Project Management techniques have been adopted in various construction projects across the country and proved to be highly efficient in completing complex projects in a time bound manner with optimum results and desired quality. The construction and commissioning of complex commercial buildings like Hospitals mandate the implementation of Project Management processes, more so in Indian market scenario. There is a huge scope for improvement in a construction project by following the PM processes from the inception of the project. The author is currently working as the Planning &Co-ordination Head for the construction of India’s largest Medical Campus. An attempt is made by the author to amalgamate Project Management practices with real-time construction and commissioning of a fully air conditioned hospital in India.

This paper addresses whether overindebted and non-overindebted consumers differ in their attitude toward money (specifically, the degree to which consumers care about money and feel difficulties keeping track of their money) and how this attitude impacts three different financial behavior categories: record keeping (e.g., recording spending in writing), adjusting balance (e.g., trying to find ways to decrease one’s expenses to match income), and monitoring balance (e.g., monitoring one’s spending to see if it is in line with what is expected). Overindebted consumers were recruited via an NGO for consumer defense and were categorized (whenever possible) into two subgroups: consumers who became overindebted due to internal causes (e.g., bad financial management) and consumers who became overindebted due to external causes (e.g., unemployment). Non-overindebted consumers were a convenience sample. Non-overindebted consumers showed more positive attitudes toward money than both groups of overindebted consumers and overindebted due to external causes showed more positive attitudes than overindebted consumers due to internal causes. All groups share similar financial management behaviors except for monitoring balance, which was more frequent among non-overindebted consumers. Furthermore, a regression analysis indicates that money attitudes helped explain financial behavior differences between consumers above and beyond their indebtedness status. Consumers’ attitude predicted financial behaviors, even when controlling for relevant socioeconomic variables (education, income, age, and gender). Further analyses comparing money attitudes and financial behavior for the three subgroups (non-overindebted, overindebted due to internal causes, and overindebted due to external causes) showed no differences.

The objective of this study was to identify characteristics of Mississippi cow-calf producers associated with their use of cattle health record-keeping systems. Anonymous surveys were mailed to 1,275 cow-calf members of the Mississippi Cattlemen’s Association. Multivariable logistic regression using manual forward variable selection was used to test factors for association with cattle health and production record-keeping outcomes. Significance was defined at alpha=0.05. Three-hundred eight surveys (24%) were returned. Of these, 292 (95%) were actively involved in cow-calf production, with 221 (75.7%), 29 (9.9%), and 42 (14.4%) being commercial, seedstock, or both, respectively. Two-hundred nineteen of 290 (75.5%) owned 55 years old. Two-hundred forty-five of 289 (84.8%) used individual animal identification. Two-hundred fifteen (73.6%) and 76 (26%) of 292 used hand-written and electronic records, respectively. Using electronic cattle records was associated with computer access (OR=7.6, 95%CI=2.3 to 25.8), smartphone ownership (OR=6.9, 95%CI=2.0 to 23.6), and Bachelor’s degree or higher (OR=2.0, 95%CI=1.1 to 3.7). Producer interest in using a smartphone-based cattle record-keeping system was associated with smartphone ownership (OR=6.0, 95%CI=2.1 to 16.6), and being ≤55 years old (OR=2.9, 95%CI=1.5 to 5.4). Access to technology and producer demographics influence the record-keeping practices of Mississippi cow-calf producers., The Bovine Practitioner, Vol. 55, No. 1 (2021)

RATIONALE AND KEY POINTS Effective record-keeping and documentation is an essential element of all healthcare professionals' roles, including nurses, and can support the provision of safe, high-quality patient care. This article explains the importance of record-keeping and documentation in nursing and healthcare, and outlines the principles for maintaining clear and accurate patient records. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of.

In 1888, Kehr received education in Vienna under Theodor Billroth and then in Berlin. He settled in surgical practice in Halberstadt, where he established a private surgical clinic and performed his first cholecystectomy in 1890. One of Kehr’s attributes was a penchant for meticulous record keeping in addition to lecturing and publishing. His major contribution was his systematic approach and the pictorial illustrations that were created in the operating room. This translation of Kehr’s magnum opus dealing with his own experience with cholecystectomy will hopefully preserve his name and assure that he is listed along with other giants who contributed to the principles of biliary surgery.

Turkish Abstract: 03/11/2017 tarihli ve 30229 sayili Resmi Gazete'de yayimlanarak yururluge giren 7039 sayili " Nufus Hizmetleri Kanunu ile Bazi Kanunlarda Degisiklik Yapilmasina Dair Kanun " un bazi maddeleri 6698 sayili Kisisel Verileri Koruma Kanunu ile iliskili oldugundan, kisisel verilerin korunmasi hukuku acisindan incelemesi gerektigi dusuncesindeyim. Zira baslikta yer verdigim " kisisel verilerimiz devlet eliyle mi satilacak? " sorusu hem sosyal medyada bugunlerde siklikla karsilastigim hem de bana en cok sorulan soru. Bu yazimda kisaca bu konuya deginmek istiyorum. 7039 sayili Kanunun 2. maddesinde; 5490 sayili Kanunun 5 inci maddesine asagidaki fikra eklenmistir: " (3) Bakanlik, elektronik ortamda tutulan aile kutuklerinde kisiye ait tek bir kaydin tutulmasina, kisi ve olay kayitlarinin Turkiye Cumhuriyeti kimlik numarasi ile iliskilendirilmesine yetkilidir. Bu durumda diger kanunlarin bu maddeye aykiri hukumleri uygulanmaz. " Bu duzenlemeye gore, Bakanlik, birtakim kisisel verileri kaydedebilir, ayrica diger kanunlarin bu maddeye aykiri hukumleri uygulanamaz. Bu noktada, 6698 sayili Kanunun islevsiz hale getirilmeye calisildigini soylemek yerinde olacaktir. Zira temel amaci, kisisel verilerin islenmesinde basta ozel hayatin gizliligi olmak uzere kisilerin temel hak ve ozgurluklerini korumak ve kisisel verileri isleyen gercek ve tuzel kisilerin yukumlulukleri ile uyacaklari usul ve esaslari duzenlemek olan 6698 sayili Kanunun, soz konusu Nufus Kanunundaki maddeye aykirilik teskil etmesi halinde uygulanamayacak olmasi, 6698 sayili Kanunun ve kisisel verilerin korunmasi hukukunun felsefesine acikca aykiridir. English Abstract: Since some articles of the Law on Population Services No.7039, which entered into force by being published in the Official Gazette dated 03.11.2017 and numbered 30229, and the Law on the Amendment of Certain Laws are related to the Personal Data Protection Law No.6698, I think that it should be examined in terms of personal data protection law. Because the question of "Will our personal data be sold by the government?" That I include in the title is both the question I frequently encounter and the most asked me these days on social media. In this article, I would like to mention this subject briefly. In Article 2 of the Law No. 7039; The following paragraph has been added to Article 5 of Law No. 5490: "(3) The Ministry of electronically held billet family in the person of a single record keeping, the Republic of Turkey is authorized to record the people and events associated with the identification number. In this case, the provisions of other laws that are contrary to this article are not applicable. "According to this regulation, the Ministry can save some personal data, and the provisions of other laws that are contrary to this article cannot be applied. At this point, it would be appropriate to say that Law No. 6698 is trying to make it dysfunctional. Because Law No. 6698, whose main purpose is to protect the fundamental rights and freedoms of individuals, especially the privacy of private life, in the processing of personal data, and to regulate the obligations of natural and legal persons who process personal data and the procedures and principles to comply with, cannot be applied in case of violation of the article in the Population Law. Clearly contradicts the philosophy of Law No. 6698 and the law on protection of personal data.

IQVIA Medical Research Data (IMRD) are non-identified electronic patient health records collected from UK General Practitioner (GP) clinical systems. The IQVIA Medical Research Data currently incorporates data supplied from THIN, a Cegedim database, which is licensed by IQVIA and data supplied by practices using EMIS Health and contributing to IQVIA’s Medical Research Extraction Scheme. The data are generated from the daily record keeping of GPs and other staff within the practice.

The administration of anesthesia is a complex monitoring task and, as such, requires sustained vigilance. Unfortunately, humans are not very good at monitoring because we are error-prone, and our vigilance is susceptible to degradation by a variety of human, environmental, and equipment factors. Designers of anesthetic equipment therefore have attempted to aid the anesthesiologist by incorporating devices and systems that augment vigilance and clinical performance. Alarms intended to notify the operator of potentially critical situations are effective only if properly designed and implemented. Although many modern anesthesia delivery devices are physically integrated and generally contain systems for gas delivery, monitoring, alarms, and sometimes record keeping, many of the promised benefits of full-scale integration (e.g., “smart” alarms, decision aids) are as of yet unfulfilled. The successful implementation of comprehensive integrated anesthesia workstations will require further technologic advances as well as a more complete understanding of the task of administering anesthesia and the factors that affect performance of the anesthesiologist in this complex human/machine environment. Research to elucidate these “performance-shaping factors” in anesthesia has been under way for a number of years and is beginning to bear fruit.

Information technology has seen quite a few marvels of invention and new discoveries in terms of technology. Until now this was a revolutionary era in which change was something which is not accepted easily. Blockchain is the example of that change, which no one has thought of a technology that keeps and upholds the long-term record keeping. However, the adoption of technology is quite risky and requires a lot of analysis. The chapter covers Blockchain’s brief summary in terms of its evolution from its origin, why we should opt for blockchain as a technology, a brief introduction to blockchain, types of blockchain Platform, how blockchain is driven by consensus mechanism along with its listed objectives which play an important role. There are several consensus mechanisms listed and explained with the conceptual point of view. The chapter enlists the smart contract, which is required to drive the business based upon some business rules. Alongside, blockchain implementation with its types is explained with their brief steps followed. Blockchain implementation is explained with the help of Ethereum in-depth with dedicated steps with deeply explained.

Studying the elements of organization algorithm and tactics in conducting separate investigative actions during crime detection in the computer information area, such as incident site inspection, assignin g criminalistic expertise and using the records of the criminalistic registration system of the Ministry of Internal Affairs of Russia. In the process of studying the problem under consideration, the following general and particular methods of scientific cognition of real and objective reality were used: dialectical, logical-legal, statistical, system analysis and specific socio-professional research methods. The authors analyzed, summarized and synthesized the problems in preparing and conducting inspection of the incident site in cases of crimes committed using computer technologies. Characteristic features, main directions and possibilities to identify traces during the inspection, and, accordingly, the purpose based on the inspection results and other investigative actions, certain recommended types of court expertise were examined. Study of possibilities to use record keeping arrays of the criminalistic registration system of the Ministry of Internal Affairs of Russia in the course of work with traces and objects obtained was carried out. The authors studied the problems of organization and tactics in conducting investigatory inspection, appointment of court expertise, using the records of the criminalistic registration system of the Ministry of Internal Affairs of Russia in the course of investigating crimes in the computer information area; ways were suggested to improve preparation and conduct these actions indicating the elements that increase efficiency of this investigation algorithm in the considered category of crimes.

Techniques in cutaneous cryosurgery are best learnt by seeing patients being treated by an experienced Cryosurgeon. Training manuals, videos and CD’s are also available. All Doctors should have adequate training prior to carrying out cryosurgery in their own surgery to ensure high success rate and a low incidence of side effects. Never freeze any lesion unless you are completely satisfied about the diagnosis on clinical grounds—if in doubt biopsy or refer the patient-don’t freeze! Perfect techniques on carefully selected patients with good follow up and record keeping should ensure safe effective outcomes.

This paper reevaluates the low volatility investing strategies and, in particular, their tax efficiency. Low volatility strategies intend to help investors achieve market-like equity returns, but with less risk than that of the broader market. Among the low volatility strategies, those with lower volatility carry lower returns, but incur higher turnover and tax burdens. Explicit tax management can greatly improve the strategy performance. Tax management, nevertheless, is no easy task in practice due to the burdensome record keeping. This paper proposes two sets of tax managed low volatility investing strategies that require different amount of record keeping. Both strategies can significantly improve the after-tax strategy returns, while maintaining the compelling risk and pre-tax return profile. Specifically, accounting for net taxable gains alone can harvest most tax alphas, and accounting for the timing of tax lots accurately in addition can further improve the strategy performance.

This paper presents a rare insight into the migration of municipality record-keeping databases. The migration of a database for preservation purposes poses several challenges. In particular, our findings show that relevant issues are file-format heterogeneity, collection volume, time and database structure evolution, and deviation from the governing standard. This paper presents and discusses how such issues interfere with an organization's ability to undertake a migration, for preservation purposes, of records from a relational database. The case-study at hand concerns six Norwegian municipality record-keeping databases covering a period from 1999 to 2012. The findings are presented with a discussion on how these issues manifest themselves as a problem for long term preservation. The results discussed here may help an organization and Information Systems (IS) manager to establish a best practice when undertaking a migration project and enable them to avoid some of the pitfalls that were discovered during this project.

Aim To determine the rate and types of unreported maternal and neonatal complications in a rural community hospital in Malawi. Background The problem of maternal and neonatal morbidity and mortality may be underestimated, with underreporting of complications often noted. Reliable data is needed to make key decisions at the local, district, and national level. This study investigated whether there were unreported complications among women receiving intrapartum care at a rural community hospital in Malawi. Methods A retrospective cross-sectional study was conducted comparing maternity register records to client charts from January-March 2018. Descriptive data analysis using SPSS v20 was performed to calculate percentages and frequencies. Results 360 client cases were identified, of which 33 cases were excluded from analysis due to missing charts. Of the remaining 327 cases included in the final analysis, only 34% (n = 31) of maternal and 34% (n = 33) of neonatal complications were recorded in both the maternity register and the chart. When the additional complications found in the chart review were included, the rates of maternal and neonatal complications tripled from 9.5% (n = 31) and 10% (n = 33) to 28% (n = 90) and 30% (n = 98), respectively. Conclusions There was poor record keeping, underreporting of maternal and neonatal complications, and discrepancies between the data recorded in the monthly maternity register and client charts in the first quarter of 2018. The actual rate of complications suggests a need to verify data at the facility level to prevent release and reporting of inaccurate data. Measures are needed to mitigate the gaps in data reporting.