Yeung Andy Wai Kan, Kletecka-Pulker Maria, Klager Elisabeth, Eibensteiner Fabian, Doppler Klara, El-Kerdi Amer, Willschke Harald, Völkl-Kernstock Sabine, Atanasov Atanas G
From the Ludwig Boltzmann Institute for Digital Health and Patient Safety (LBIDHPS), Medical University of Vienna, Vienna, Austria.
J Patient Saf. 2022 Oct 1;18(7):e1116-e1123. doi: 10.1097/PTS.0000000000001040. Epub 2022 May 27.
The aim of the study was to quantitatively analyze the scientific literature landscape covering legal regulations of patient safety.
This retrospective bibliometric analysis queried Web of Science database to identify relevant publications. The identified scientific literature was quantitatively evaluated to reveal prevailing study themes, contributing journals, countries, institutions, and authors, as well as citation patterns.
The identified 1295 publications had a mean of 13.8 citations per publication and an h-index of 57. Approximately 78.8% of them were published since 2010, with the United States being the top contributor and having the greatest publication growth. A total of 79.2% (n = 1025) of the publications were original articles, and 12.5% (n = 162) were reviews. The top authors (by number of publications published on the topic) were based in the United States and Spain and formed 3 collaboration clusters. The top institutions by number of published articles were mainly based in the United States and United Kingdom, with Harvard University being on top. Internal medicine, surgery, and nursing were the most recurring clinical disciplines. Among 4 distinct approaches to improve patient safety, reforms of the liability system (n = 91) were most frequently covered, followed by new forms of regulation (n = 73), increasing transparency (n = 67), and financial incentives (n = 38).
Approximately 78.8% of the publications on patient safety and its legal implications were published since 2010, and the United States was the top contributor. Approximately 79.2% of the publications were original articles, whereas 12.5% were reviews. Healthcare sciences services was the most recurring journal category, with internal medicine, surgery, and nursing being the most recurring clinical disciplines. Key relevant laws around the globe were identified from the literature set, with some examples highlighted from the United States, Germany, Italy, France, Sweden, Poland, and Indonesia. Our findings highlight the evolving nature and the diversity of legislative regulations at international scale and underline the importance of healthcare workers to be aware of the development and latest advancement in this field and to understand that different requirements are established in different jurisdictions so as to safeguard the necessary standards of patient safety.
本研究旨在对涵盖患者安全法规的科学文献状况进行定量分析。
这项回顾性文献计量分析查询了科学引文索引数据库以识别相关出版物。对识别出的科学文献进行定量评估，以揭示主要的研究主题、相关期刊、国家、机构和作者，以及引用模式。
识别出的1295篇出版物平均每篇有13.8次引用，h指数为57。其中约78.8%自2010年以来发表，美国是最大贡献者且发表量增长最大。总共79.2%（n = 1025）的出版物为原创文章，12.5%（n = 162）为综述。发表该主题文章数量最多的顶尖作者来自美国和西班牙，并形成了3个合作集群。发表文章数量最多的顶尖机构主要位于美国和英国，哈佛大学位居榜首。内科、外科和护理是最常出现的临床学科。在改善患者安全的4种不同方法中，责任制度改革（n = 91）被提及的频率最高，其次是新的监管形式（n = 73）、提高透明度（n = 67）和经济激励措施（n = 38）。
自2010年以来，约78.8%的关于患者安全及其法律影响的出版物得以发表，美国是最大贡献者。约79.2%的出版物为原创文章，而12.5%为综述。医疗卫生科学服务是最常出现的期刊类别，内科、外科和护理是最常出现的临床学科。从文献集中识别出了全球范围内的关键相关法律，并列举了美国、德国、意大利、法国、瑞典、波兰和印度尼西亚的一些例子。我们的研究结果凸显了国际层面立法规定的不断演变的性质和多样性，并强调了医护人员了解该领域发展和最新进展以及明白不同司法管辖区有不同要求以保障患者安全必要标准的重要性。
