Agnes Libot, MD
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Palliative care consultations reduce hospital costs
October 1, 2018
Are direct hospital costs for patients with serious illnesses affected by palliative care consultations (PCC)?
News
Elimination of urine culture screening prior to elective joint arthroplasty
April 24, 2017
What is the clinical impact of implementing a policy to no longer process urine specimens for perioperative screening in patients undergoing elective joint arthroplasty (EJA)?
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Risks are reduced when angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers are held before noncardiac surgery
April 22, 2017
Is withholding angiotensin-converting enzyme inhibitors (ACEI) or angiotensin II receptor blockers (ARBs) prior to noncardiac surgery associated with a lower risk of a 30-day composite outcome of all-cause death, myocardial injury after noncardiac surgery, and stroke when compared with continuing them on the day of surgery?
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Disinfection Caps Reduce CLABSI, BCC in Hematology-Oncology Patients
May 30, 2016
Clinical question: Does the use of disinfection caps on catheter hubs on central venous catheters (CVCs) reduce central-line-associated bloodstream infection (CLABSI) and blood culture contamination (BCC) in hematology-oncology patients? Background: CVCs have facilitated the administration of che
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Isopropyl Alcohol Nasal Inhalation Effective Treatment for ED Nausea
May 30, 2016
Clinical question: Does inhaled isopropyl alcohol alleviate nausea as compared to inhaled saline solution among patients presenting to the ED with a chief complaint of nausea? Background: Nausea and vomiting account for 4.8 million ED visits each year; however, antiemetics have not shown superior
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Chronic Kidney Disease Risk with Proton Pump Inhibitors
May 27, 2016
Clinical question: What is the association between proton pump inhibitor (PPI) use and incident chronic kidney disease (CKD)? Background: Medication use may play a potential role in the increasing prevalence of CKD.
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Risk Factors for Pseudomonas, MRSA in Healthcare-Associated Pneumonia
May 27, 2016
Clinical question: What risk factors could predict the likelihood of Pseudomonas and methicillin-resistant Staphylococcus aureus (MRSA) in patients hospitalized with healthcare-associated pneumonia (HCAP)? Background: Patients identified with HCAP have an increased risk for multi-drug-resistant p
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Updated CHEST Guidelines for Antithrombotic Therapy of VTE
May 23, 2016
Clinical question: What are the current recommendations for antithrombotic therapy in various venous thromboembolism (VTE) scenarios? Background: VTE is commonly encountered with a multitude of therapeutic options.
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Tamsulosin Can Be Used as Expulsive Therapy for Some Ureteric Stones
May 23, 2016
Clinical question: Is tamsulosin efficacious as an expulsive therapy for distal ureter stones ≤10 mm in diameter? Background: Ureteric calculi are a common reason for hospital admission, and use of medical expulsive therapy during observation periods for small caliber stones has gained much atten
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Prevalence, Characteristics of Physicians Prone to Malpractice Claims
May 20, 2016
Clinical question: Do claim-prone physicians account for a substantial share of all paid malpractice claims? Background: Many studies have compared physicians who have multiple malpractice claims against them with colleagues who have few or no claims against them and have identified systemic diff
