Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A wise nurse can manage a paper protocol but prefers intelligent technology. | Available online http content 11 6 423 Letter A wise nurse can manage a paper protocol but prefers intelligent technology Mathijs Vogelzang1 Felix Zijlstra2 Maarten WN Nijsten1 Surgical ICU University Medical Center Groningen University of Groningen Groningen The Netherlands 2Department of Cardiology University Medical Center Groningen University of Groningen Groningen The Netherlands Corresponding author Mathijs Vogelzang Published 13 November 2007 This article is online at http content 11 6 423 2007 BioMed Central Ltd Critical Care 2007 11 423 doi cc6169 See related letter by de Graaf et al. http content 11 5 421 and related research by Shulman et al. http content 11 4 R75 We were surprised to read the letter Tight glycaemic control intelligent technology or a nurse-wise strategy by de Graaff and colleagues 1 . In this letter the use of complex protocols for tight glucose control is questioned and a strategy as used in Leuven is proposed based on nurses experience guided with only a few very simple guidelines. Glucose control is not simple but complex. This complexity is underscored by major problems that have been encountered with respect to safety and efficiency. Many factors are known to influence glucose control. Standardizing glucose control has been found to improve both safety and the efficiency of glucose control 2 . Moreover results obtained with unstandardized treatment protocols as proposed by de Graaff et al. should be interpreted with great caution as the exact characteristics of the therapy are unknown. We agree with de Graaff et al. that paper protocols can become too complex and may result in bad compliance efficiency and safety. Computer protocols are generally easy to follow and require fewer glucose measurements than paper-based protocols 35 . In our own three-year experience nurses - both novice and experienced - are very pleased with the efficient process a .
