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Updated: Sep 14, 2025

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Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
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将SQuID列入菜单:一种用于糖尿病酸性胰岛素的皮下胰岛素方案
Margo Girardi1, Richard T Griffey2, Ryan M Schneider2
1Department of Internal Medicine, Division of Hospital Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Journal of hospital medicine
|July 21, 2025
概括
对于低至中度严重的糖尿病酸 (DKA) 的SQuID协议安全地减少了急诊室 (ED) 住院时间和重症监护室 (ICU) 的入院. 这项创新为DKA管理提供了传统静脉注射胰岛素的有效替代品.
科学领域:
- 内部医学 内部医学
- 内分泌学 在内分泌学.
- 医院管理局 医院管理局
背景情况:
- 糖尿病酸症 (DKA) 管理传统上涉及静脉注射 (IV) 胰岛素,往往导致长时间住院和重症监护室 (ICU) 的入院.
- 低至中度严重的DKA患者可能不需要密集监测,这为协议优化提供了机会.
研究的目的:
- 评估在糖尿病酸性中皮下胰岛素 (SQuID) 协议的安全性和有效性,用于低至中度严重的DKA.
- 评估SQuID协议对急诊室 (ED) 停留时间和ICU利用率的影响.
- 报告临床医生的可接受性和从实施SQuID协议中吸取的经验教训.
主要方法:
- 从2021年开始,在医院医生经营的观察室中,对低至中度严重的DKA患者实施SQuID协议.
- 从2023年3月到2024年3月,扩大床位资格到第二个仅供医院医生的楼层.
- 结果的比较 (ED停留时间,ICU利用率) 与用IV胰岛素治疗的历史对照.
主要成果:
- 与IV胰岛素治疗相比,SQuID协议减少了ED停留时间超过3小时.
- 低至中度严重的DKA的ICU利用率在SQuID协议下减少了33%以上.
- 该SQuID协议证明了与IV胰岛素同等的安全性和有效性,临床接受度很高.
结论:
- 该SQuID协议是一种安全有效的替代方案,用于管理低到中度严重程度的DKA,减少医疗保健资源利用率.
- 实施SQuID协议为优化DKA护理途径提供了宝贵的见解.
- 这一创新突显了医院医生领导的协议在改善患者流动和降低成本方面的潜力.
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