Division of Pulmonary and Critical Care Medicine, University of Medicine and Dentistry of New Jersey - New Jersey Medical School, 150 Bergen St, UH-I354, Newark, NJ 07103, USA.
Crit Care. 2012;16(2):306. doi: 10.1186/cc10578. Epub 2011 Mar 16.
Care of the critically ill patient is becoming increasingly complex. Protocols, which standardize care of patients with similar diseases, represent a potential solution to managing multiple simultaneous problems in critically ill patients. In this article, we examine the advantages and disadvantages to care protocolization, and posit that careful and thoughtful implementation of protocols is likely to benefit patients. We also discuss the potential for unintended consequences, and even harm, with protocolization in critically ill patients using the Critical Illness Outcomes Study as a model to examine the effects of protocolization in large populations of intensive care patients.
危重症患者的护理变得越来越复杂。协议可以标准化类似疾病患者的护理,这是解决危重症患者同时存在多个问题的潜在方法。本文探讨了协议化护理的优缺点,并提出谨慎、有针对性地实施协议可能使患者受益。我们还以危重病结局研究为模型,讨论了协议化在危重病患者中可能产生的意外后果甚至危害,以研究协议化对大量重症监护患者的影响。