RESUMO
Attention to health care quality and safety has increased dramatically. The internal focus of an organization is not without influence from external policy and research findings. Compared with other specialties, efforts to align and advance rehabilitation research, practice, and policy using electronic health record data are in the early stages. This special communication defines quality, applies the dimensions of quality to rehabilitation, and illustrates the feasibility and utility of electronic health record data for research on rehabilitation care quality and outcomes. Using data generated at the point of care provides the greatest opportunity for improving the quality of health care, producing generalizable evidence to inform policy and practice, and ultimately benefiting the health of the populations served.
Assuntos
Difusão de Inovações , Registros Eletrônicos de Saúde/estatística & dados numéricos , Disseminação de Informação , Qualidade da Assistência à Saúde/organização & administração , Pesquisa de Reabilitação/organização & administração , Comunicação , Eficiência Organizacional , Humanos , Segurança do Paciente , Assistência Centrada no Paciente/organização & administração , Políticas , Qualidade da Assistência à Saúde/normas , Gestão da Segurança/organização & administração , Fatores de TempoRESUMO
Peripherally inserted central catheters provide access to the central chest veins and allow administration of long-term antibiotics, chemotherapy, blood products, fluids, and parenteral nutrition. Peripherally inserted central catheters provide an essential function and are routinely placed safely, but are not without risks. This case describes an unusual complication of peripherally inserted central catheter perforation into the pericardial space with subsequent successful percutaneous removal.