Schreiber Moritz, Klingelhöfer Doris, Groneberg David A, Brüggmann Doerthe
Institute for Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, Frankfurt, Germany.
BMJ Open. 2016 Feb 12;6(2):e008322. doi: 10.1136/bmjopen-2015-008322.
Patient safety is a crucial issue in medicine. Its main objective is to reduce the number of deaths and health damages that are caused by preventable medical errors. To achieve this, it needs better health systems that make mistakes less likely and their effects less detrimental without blaming health workers for failures. Until now, there is no in-depth scientometric analysis on this issue that encompasses the interval between 1963 and 2014. Therefore, the aim of this study is to sketch a landscape of the past global research output on patient safety including the gender distribution of the medical discipline of patient safety by interpreting scientometric parameters. Additionally, respective future trends are to be outlined.
The Core Collection of the scientific database Web of Science was searched for publications with the search term 'Patient Safety' as title word that was focused on the corresponding medical discipline. The resulting data set was analysed by using the methodology implemented by the platform NewQIS. To visualise the geographical landscape, state-of-the-art techniques including density-equalising map projections were applied.
4079 articles on patient safety were identified in the period from 1900 to 2014. Most articles were published in North America, the UK and Australia. In regard to the overall number of publications, the USA is the leading country, while the output ratio to the population of Switzerland was found to exhibit the best performance. With regard to the ratio of the number of publications to the Gross Domestic Product (GDP) per Capita, the USA remains the leading nation but countries like India and China with a low GDP and high population numbers are also profiting.
Though the topic is a global matter, the scientific output on patient safety is centred mainly in industrialised countries.
患者安全是医学中的一个关键问题。其主要目标是减少可预防的医疗差错导致的死亡人数和健康损害。要实现这一目标,需要更好的卫生系统,减少犯错可能性并降低其危害影响,且不将失败归咎于卫生工作者。到目前为止,尚无对1963年至2014年这一时期该问题的深入科学计量分析。因此,本研究的目的是通过解读科学计量参数,勾勒过去全球患者安全研究产出的概况,包括患者安全医学学科的性别分布。此外,还将概述各自的未来趋势。
在科学数据库Web of Science的核心合集中搜索标题词为“患者安全”且专注于相应医学学科的出版物。使用平台NewQIS实施的方法对所得数据集进行分析。为了直观呈现地理概况,应用了包括密度均衡地图投影在内的先进技术。
在1900年至2014年期间共识别出4079篇关于患者安全的文章。大多数文章发表于北美、英国和澳大利亚。就出版物总数而言,美国是领先国家,而瑞士的出版物产出与人口比例表现最佳。就出版物数量与人均国内生产总值(GDP)的比例而言,美国仍是领先国家,但印度和中国等GDP较低且人口众多的国家也从中受益。
尽管该主题是全球性问题,但患者安全方面的科学产出主要集中在工业化国家。