Article

Finding balance: Optimizing medication prescribing in older patients
- Author:
- Kelly C. Sponsler, MD, FHM
- Amanda S. Mixon, MD, MS, MSPH, FHM
More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.
News
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...
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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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?...
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...
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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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...
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...
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...
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...
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...
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...
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
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...
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?