（翻译）2015AAGBI糖尿病患者围手术期管理

an annual snapshot audit of surgical and medical inpatients with diabetes. The majority of Trusts in England and Wales are now taking part. The audit is commissioned by the Healthcare Quality Improvement Partnership as part of the National Clinical Audit and

Patient Outcomes Programme. The results are available online in the spring of each year and enable organisations to assess their performance in caring for inpatients with diabetes [39].

Included in the audit are questions relating to whether diabetes management minimises the risk of avoidable complications, harm resulting from the inpatient stay, patient experience and the change in patient feedback on the quality of care since NaDIA began. Of particular relevance to anaesthetists, NaDIA includes comparative data on the prevalence of medication errors, intravenous insulin infusions, glycaemic control and patient harm. In addition, there

are considerable data from patients? feedback questionnaires concerning their experience and involvement in their own care.

以上的审查标准是用于每个机构，而国家审查项目提供了更广的观察并且树立了一些标杆。NaDIA是每年审查住院糖尿病病人的外科护理和药物使用。英国和威尔士的大多数权威都有参与，现在由国家临床审查和患者治疗效果评价组中的健康护理质量改进小组组成。每年春天会出结果供临床机构审视自己的糖尿病人住院护理表现。包括是否有效避免了可避免的并发症、住院的不良预后和患者感受，从NaDIA开始了患者反馈调查。和麻醉师密切相关，NaDIA包括了药物处方错误的数据、皮下注射胰岛素、血糖控制和病人伤害等数据。另外，病人反馈还要考虑病人自我的管理经验和自我护理。

? Recommendation: Anaesthetists interested in perioperative diabetes management should access the National Diabetes Inpatient Audit and look up the results for their own organisation.

*建议：对糖尿病患者围手术期护理感兴趣的麻醉师应纳入NaDIA以改善其所在医疗机构的工作成果。

Acknowledgements 致谢 This guideline and the text are based in large part on the guidelines available from the JBDS [1]. The Working Party and AAGBI are grateful to the JBDS Inpatient Care Group for permission to use its document as the basis for this guideline.

这版指南大部分基于JBDS，工作组和AAGBI感谢JBDS的允许。