Schweim H G, Winkmann G
Deutsches Institut für Medizinische Dokumentation und Information, Köln.
Z Arztl Fortbild Qualitatssich. 1998 Dec;92(10):723-8.
The situation in cases of fraud and scientific misconduct--either true or false--is reviewed and its reflection in databases illustrated by examples. Exemplary quality guidelines for these cases have been published by the US National Library of Medicine, one of the major medical database producers. However, no timely and consequent application was found in some cases studied. On the whole, results in the major worldwide medical/life sciences databases are still dissatifactory. The implicite meaning of database quality (as illustrated by cases of fraud) for the decision making process, and its results for patients too--is broached and has to be discussed in the future. Some proposals for quality improvement are submitted.
本文回顾了欺诈和科学不端行为（无论真假）的情况，并通过实例说明了其在数据库中的反映。作为主要医学数据库生产商之一的美国国立医学图书馆已经发布了针对这些情况的示范性质量指南。然而，在所研究的一些案例中，并未发现及时且一致的应用。总体而言，全球主要医学/生命科学数据库的结果仍然不尽人意。文中探讨了数据库质量（以欺诈案例为例）对决策过程的隐含意义及其对患者的影响，这一问题未来仍有待讨论。本文还提出了一些质量改进建议。
