May 10, 2023

New commandments for consults
A hospitalist offered her advice on the rules of giving and getting inpatient consultations.
ACP advises on improving transitions of care
The authors of a recent College policy paper talked about how patients can be handed off more safely.
Readmission project failed to reduce readmissions or mortality, Swiss study finds
An accompanying editorial by Robert M. Wachter, MD, MACP, offered thoughts on why several recent interventions haven't budged readmissions and where to go from here.
Recommendations on preventing surgical-site infections updated
The latest recommendations from the Society for Healthcare Epidemiology of America lowered the recommended postoperative target glucose level from less than 180 mg/dL to between 110 and 150 mg/dL, among other changes.
Review finds no significant difference between IV fluid strategies in sepsis
A systematic review and meta-analysis of 13 trials found that all-cause mortality and rates of serious adverse events did not seem to vary by whether sepsis patients received lower or higher fluid volumes.
Intervention successful in decreasing routine vitamin D testing
A decision support tool that prompted clinicians about appropriate testing criteria and included a best practice advisory was associated with a 44% drop in orders for vitamin D levels and a 61% reduction in repeat testing among inpatients.