Integrating a safety smart list into the electronic health record decreases intensive care unit length of stay and cost.

Purpose: To measure how an integrated smartlist developed for critically ill patients would change intensive care units (ICUs) length of stay (LOS), mortality, and charges.

Materials And Methods: Propensity-score analysis of adult patients admitted to one of 14 surgical and medical ICUs between June 2017 and May 2018. The smart list aimed to certain preventative measures for all critical patients (e.

Standardizing Phlebotomy Job Descriptions.

Background: The University of Maryland Medical System, like all other medical systems, is faced with providing the highest quality care in an environment of increased demands and competition for resources. Some responses to this pressure include improved integration, coordination, and efficiency. Laboratory integration has been highlighted by our medical system as a promising area for improvement.

Bilateral internal iliac artery ligation as a damage control approach in massive retroperitoneal bleeding after pelvic fracture.

Introduction: The management of massive retroperitoneal hemorrhage in unstable patients with pelvic fractures remains a considerable therapeutic challenge after blunt mechanisms of injury. We present our study using emergent bilateral ligation of the internal iliac arteries (BLIA) and pelvic packing as a damage control adjunct.

Methods: We reviewed our experience during 22 months (May 2006 to March 2008) with damage control management of massive retroperitoneal hemorrhage caused by blunt pelvic injury encountered at the time of emergent laparotomy.

Traumatic brain injury.

Purpose Of Review: Management of the patient with traumatic brain injury is a rapidly advancing field, characterized in recent years by an improved understanding of intracranial pathophysiology and ways in which outcomes can be improved. Many traditional therapies, such as fluid restriction and hyperventilation, have been called into question and are no longer recommended. Other proposed therapies, such as deliberate hypothermia, remain controversial.

The global reach of HIV: preventing mother-to-child transmission.

This article focuses on the effects of the worldwide human immunodeficiency virus (HIV) epidemic on the lives of pregnant women and their infants in the developing world. It discusses the natural history of mother-to-child transmission (MTCT) in HIV, including the role of breastfeeding and the effectiveness of various treatment/prevention schemes in resource-poor communities. Although the treatment schemes are not the same as those used in North America, the underlying principles of transmission are the same.

Pancreas transplantation at the University of Maryland.

1. The University of Maryland pancreas transplant program was initiated in July 1991. Through December 1996, 230 pancreas transplants were performed (145 SPK, 64 PAK, 21 PTA).