Literature Watch
What the evidence says.
Plain-language summaries of current hospital-medicine literature — sepsis resuscitation, VTE prophylaxis, glycemic control, care transitions, and more. Every summary is reviewed by Dr. Tabernero before it appears here and links to its primary sources. Educational only — not medical advice.
July 7, 2026 · 5 sources
CMS coverage policy shifts for digital health and remote patient monitoring (RPM)
1. Post-discharge RPM becomes billable — A hospitalist can now set up 7-day post-discharge monitoring (e.g., CHF weight + vital signs) and bill for it, where the old 16-day…
July 7, 2026 · 3 sources
FDA AI/ML-enabled medical device clearances and SaMD guidance changes
1. Single-output tools can now avoid device regulation — A physician building a drug recommendation system can provide one answer (e.g., "Consider lisinopril") without listing…
July 5, 2026 · 3 sources
Acute kidney injury prevention in hospitalized adults
Clinical decision support gap: Most EHRs lack real-time nephrotoxic burden calculators. A CDS tool that flags cumulative nephrotoxin exposure (vanc + NSAID + contrast + ACEi +…
July 5, 2026 · 4 sources
Hospital-acquired venous thromboembolism prophylaxis
The 40% problem is a systems gap, not a knowledge gap. Validated risk models exist (2024 International Consensus covers medical, surgical, pregnant, postpartum, cancer cohorts).…
July 5, 2026 · 5 sources
Inpatient hyperglycemia management (non-ICU)
Implementable protocol: 1. Trigger: 2+ BG readings 180 in 24h → auto-flag for scheduled insulin 2. Order set: basal (glargine/detemir QD or NPH BID) + prandial (lispro/aspart AC)…
July 5, 2026 · 5 sources
Safe transitions of care and 30-day readmission reduction
High-yield intervention bundle: 1. Risk stratify at admission (LACE+ or HOSPITAL score) → flag high-risk patients for enhanced discharge planning 2. Patient education (teach-back…
July 5, 2026 · 5 sources
Sepsis-3 fluid resuscitation in the first 24 hours
Protocol-ready recommendation: 1. Sepsis-3 criteria met + hypoperfusion/shock → start crystalloid resuscitation immediately 2. Fluid choice: Lactated Ringer's or Plasma-Lyte…