Telford Evan D, Franck Andrew J, Hendrickson Andrew L, Dietrich Nicole Maltese
Jt Comm J Qual Patient Saf. 2018 May;44(5):299-303. doi: 10.1016/j.jcjq.2017.10.005. Epub 2018 Apr 18.
Intravenous (IV) insulin infusions using a validated protocol are the recommended method for blood glucose control in critically ill patients. Computerized decision-support tools improve quality over manual paper-based protocols. However, nonproprietary computerized tools targeting the recommended blood glucose range of 140-180 mg/dL are not readily available. A bedside computerized decision-support tool was developed at a US Department of Veterans Affairs health system to assist the nursing staff with the management of patients requiring IV insulin infusion. Initial evaluation showed that the tool was useful in the safe and effective management of an IV insulin infusion protocol for blood glucose control targeting the updated blood glucose range.
采用经过验证的方案进行静脉胰岛素输注是危重症患者血糖控制的推荐方法。计算机化决策支持工具比基于纸质的手动方案质量更高。然而，针对推荐血糖范围140 - 180mg/dL的非专利计算机化工具并不容易获得。美国退伍军人事务部医疗系统开发了一种床边计算机化决策支持工具，以协助护理人员管理需要静脉胰岛素输注的患者。初步评估表明，该工具对于针对更新后的血糖范围进行血糖控制的静脉胰岛素输注方案的安全有效管理很有用。
