Abstract
The Department of Veterans Affairs’ (VA) Decentralized Hospital Computer Program (DHCP) is one of the richest repositories of clinical information on surgical patients in the world. Full utilization of various DHCP modules allows for the electronic acquisition and storage of more than 80% of the total clinical record of the surgical patient. With the realization of ongoing developmental and the Hybrid Open System Technology (HOST) initiatives, the electronic acquisition of the totality of the surgical patient’s clinical record should become a reality within 2 to 3 years. This chapter describes the electronic information currently available on the surgical patient in the various DHCP modules, how this information is utilized daily in patient management and quality improvement, and the ongoing efforts toward the realization of the complete electronic surgical record.
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References
Daley J, Khuri SF, Henderson W, et al. (submitted). Comparative assessment of thirty day morbidity following major surgery: Results of the national Veterans Affairs surgical risk study. New England Journal of Medicine.
Hammermeister KE, Johnson R, Marshall G, & Grover FL. 1994. Continuous assessment and improvement in quality of care; a model from the department of Veterans Affairs cardiac surgery. Annals of Surgery, 219, 281–290.
Khuri SF, Daley J, Henderson W, et al. 1995. The national Veterans Affairs surgical risk study: Risk adjustment for the comparative assessment of the quality of surgical care. Journal of the American College of Surgery, 180, 519–609.
Khuri SF, Daley J, Henderson W, et al. (submitted). Comparative assessment of thirty day mortality following major surgery: Results of the national Veterans Affairs surgical risk study. New England Journal of Medicine.
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© 1997 Springer Science+Business Media New York
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Khuri, S.F. (1997). Surgical Systems. In: Kolodner, R.M. (eds) Computerizing Large Integrated Health Networks. Computers in Health Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-0655-2_17
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DOI: https://doi.org/10.1007/978-1-4612-0655-2_17
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