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Intermountain Health Care, a system of 24 acute care, not‐for‐profit hospitals in Utah, Idaho and Wyoming, USA, is focused on with regard to its use of computers to integrate the various clinical, financial and patient‐oriented databases in order to assess variance in terms of quality, utilisation and efficiency (QUE). Examples are given of the studies carried out, and a QUE study on the management of uncomplicated transurethral prostatectomies is detailed. The benefits gained through the use of the system are described in the pharmacy system, in the monitoring of infectious diseases and in the charting of respiratory care.

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