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Allison L. Smith, MD

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New Oral Anticoagulants Safe and Effective for Atrial Fibrillation Treatment

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: Is there a difference in efficacy and safety among new oral anticoagulants compared to warfarin in subgroups of patients with...

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News

Sepsis Diagnoses Are Common in ED, but Many Septic Patients in the ED Do Not Receive Antibiotics

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: Has the frequency of sepsis rates, along with administration of antibiotics in U.S.

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News

Multifaceted Discharge Interventions Reduce Rates of Pediatric Readmission and Post-Hospital ED Utilization

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: Do interventions at discharge reduce the rate of readmissions and post-hospitalization ED visits among pediatric patients?...

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News

Warfarin Initiation in Atrial Fibrillation Associated with Increased Short-Term Risk of Stroke

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: Is the initiation of warfarin associated with an increased risk of ischemic stroke in patients with atrial fibrillation (Afib...

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News

Comorbidities Contribute to Potentially Avoidable Hospital Readmissions

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: What is the role of comorbidities in 30-day potentially avoidable readmissions? Background: Higher comorbidity burden has been...

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News

Uncomplicated Skin Infections in Ambulatory Setting Commonly Involve Avoidable Antibiotic Exposure

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: What are the current prescribing practices for antibiotics used to treat skin and soft tissue infections in the outpatient...

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News

Resident Handoff Bundle Reduces Medical Errors and Adverse Events, Improves Handoff Quality

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: In a pediatric inpatient setting, is the use of a handoff program associated with improved patient safety measures and handoff...

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News

Modified IV Acetylcysteine Infusion Reduces Adverse Effects

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: Does a shorter regimen of IV acetylcysteine reduce adverse effects compared to the standard regimen? Background: Acetaminophen...

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News

No Mortality Benefit with Treatment of Single Peripheral Pulmonary Emboli

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: Does treatment of single peripheral pulmonary emboli impact mortality and rates of post-discharge venous thromboembolism (VTE...

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News

Healthcare-Associated Infections Continue to Impact the U.S. Healthcare System Financially

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Clinical question: What is the estimated cost of healthcare-associated infections (HAI) to the U.S. healthcare system? Background: In spite of...

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News

Hospitalist Reviews on Healthcare-associated Infections, Mortality Benefit with Single Peripheral Pulmonary Emboli, Oral Anticoagulants to Treat Atrial Fibrillation

Author:
Allison L. Smith, MD
Laine J. Murphey, MD, PhD
Olamide Zaka, MD
Joshua Labrin, MD
Kelly L. Sopko, MD, FHM
Kelly C. Sponsler, MD, FHM

Also reviewed this month: comorbidities and avoidable hospital readmissions, effect of resident handoff bundles on medical errors, pediatric...

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News

Surgical-Site-Infection Risk Not Associated with Prophylactic Antibiotic Timing

Author:
Allison L. Smith, MD
Emily Tarvin, MD
J. Daniel Markley, DO
Kevin Flemmons, MD, SFHM
Kelly C. Sponsler, MD, FHM
Section OF

Administering antibiotics 60 minutes pre-incision doesn’t significantly reduce post-operative infection rates: JAMA study

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News

Proton-Pump Inhibitors Associated with Increased Mortality Risk

Author:
Allison L. Smith, MD
Emily Tarvin, MD
J. Daniel Markley, DO
Kevin Flemmons, MD, SFHM
Kelly C. Sponsler, MD, FHM
Section OF

Is the use of proton-pump inhibitors (PPIs) associated with risk of mortality or combined risk of death or rehospitalization in older patients...

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News

Diabetes Mellitus Does Not Increase Risk of Surgical Complications after Elective Total Knee Replacement Surgery

Author:
Allison L. Smith, MD
Emily Tarvin, MD
J. Daniel Markley, DO
Kevin Flemmons, MD, SFHM
Kelly C. Sponsler, MD, FHM
Section OF

Does uncontrolled diabetes mellitus increase risk for post-operative complications after elective joint replacement surgery?

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News

Duty-Hour Reforms Reduce Work Hours with No Impact on Resident, Patient Outcomes

Author:
Allison L. Smith, MD
Emily Tarvin, MD
J. Daniel Markley, DO
Kevin Flemmons, MD, SFHM
Kelly C. Sponsler, MD, FHM
Section OF

What are the effects of the 2011 resident duty-hour requirements on first-year residents’ well-being and patient safety?

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