Rafael F Diaz-Flores

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OBJECTIVE To prospectively evaluate and accurately describe the rate and type of discrepancies encountered in the surgical count. INTRODUCTION Despite near-universal implementation of manual counting protocols for surgical instruments and sponges, incidents of retained sponges and instruments (RSI) persist. Retrospective analyses have shown that RSI are(More)
BACKGROUND We evaluated the role of serial catheter-directed bronchoalveolar lavage (CDBAL) in the diagnosis and management of pneumonia in ventilated surgical intensive care unit patients. METHODS Intubated surgical intensive care unit patients were prospectively evaluated with serial CDBALs from September 1, 2012, to May 31, 2013. Initial CDBALs were(More)
OBJECTIVE A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a bar-code system. BACKGROUND Retained sponges are a rare and preventable problem but persist in surgery despite standardized protocols for counting. Technology that improves detection of counting errors could reduce risk to surgical(More)
Objective: A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a barcode system. Background: Retained sponges are a rare and preventable problem but persist in surgery despite standardized protocols for counting. Technology that improves detection of counting errors could reduce risk to surgical(More)
of-care” we used, which specific antibiotics were recommended for infections with focus in different anatomical sites, that therapy was adjusted according to microbiological findings, etc (Materials and Methods, p 2049, legend of Fig. 1), and additionally, that both arms received standard-of-care management, the intervention group supplemented with the(More)
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