Chinese General Practice ›› 2021, Vol. 24 ›› Issue (4): 414-420.DOI: 10.12114/j.issn.1007-9572.2020.00.457

• Monographic Research • Previous Articles     Next Articles

Research Status with Hot Topic Analysis of Patient Safety in China Using Bibliometrical Method 

  

  1. School of Public Health and Management,Chongqing Medical University/Research Center for Medicine and Social Development/The Innovation Center for Social Risk Governance in Health,Chongqing 400016,China
    *Corresponding author:FENG Lei,Professor,Master supervisor;E-mail:cqqiuqiu0714@sina.com
  • Published:2021-02-05 Online:2021-02-05

基于文献计量的国内患者安全研究现状与热点分析

  

  1. 400016重庆市,重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心
    *通信作者:冯磊,教授,硕士生导师;E-mail:cqqiuqiu0714@sina.com
  • 基金资助:
    基金项目:教育部人文社会科学研究规划基金项目(19YJA820009);重庆市社会科学规划项目(2018PY11)

Abstract: Background Patient safety is a core goal of clinical medical care. Ensuring patient safety has become the core theme of the quality of medical care. Understanding the research status with hot topic analysis of patient safety is the basis for further studies. Objective To analyze the research status including hot spots of patient safety in China,to provide a reference for related research. Methods On November 8th,2019,studies about patient safety published between January 1,2010 and November 8,2019 were systematically searched across three retrieval data sources,CNKI,Wanfang Data and CQVIP databases,with "sufferer safety"(患者安全) and "patient safety"(病人安全) as the key words. EndNote X7 was used to exclude the duplicate ones. Bibliometrical method was used to analyze the publication time and authors. CiteSpace 5.5.R2 was used to conduct visualized analysis of the extracted key words. Results A total of 887 qualified articles were included. From 2010 to 2019,the number of these studies showed an upward trend as a whole(from 46 to 114),among which the number showed a blowout growth trend from 2012 to 2013(from 56 to 74). Core authors published 33.26%(295/887) of the total articles,which was lower than that(50%) proposed in the Price Law. High-frequency key words concerning patient safety included safety management,nursing,nursing management,nursing safety,patient safety culture and inpatient. From the perspective of burst terms,nursing,safety management,patient,risk management,medical worker and patient participation emerged. Visualized cluster analysis revealed that there were seven clusters,including nursing safety,medical safety,elderly patients,nurse,endoscopy,intensive care unit and falls. Conclusion Patient safety and medical safety,nursing safety,and safety of elderly patients are the research hotspots about patient safety in China,while the value concept and discourse system,policy orientation and updating of laws and regulations,scientific evaluation system concerning patient safety have not yet become the focus of attention. The development trends mainly focus on three aspects,such as the patient participation for patient safety,evaluation and related evaluation systems of patient safety level,and the informatization of patient safety management.

Key words: Patient safety, Safety culture, Patient participation in patient safety, Bibliometrics, Visualized analysis

摘要: 背景 患者安全是临床医疗护理的核心目标,保障患者安全已成为当前医疗卫生保健质量的核心主题,了解患者安全领域的研究现状和研究热点,是进一步开展相关研究的基础。目的 分析国内患者安全领域的研究现状与热点,为相关研究提供参考。方法 2019-11-08,以中国知网、万方数据知识服务平台、维普网为检索数据源,以“患者安全”或“病人安全”为关键词,系统跨库检索2010-01-01至2019-11-08发表的患者安全相关文献。借助EndNote X7软件进行文献去重,利用文献计量学方法对文献的发表年代、发文作者进行统计分析。利用CiteSpace 5.5.R2软件对纳入文献的关键词进行可视化分析。结果 共纳入合格文献887篇,2010—2019年,国内患者安全文献数量整体呈上升趋势(46篇增至114篇),其中2012—2013年呈“井喷式”增长(56篇增至74篇);核心作者发文295篇(33.26%),低于普赖斯提出的核心作者要撰写某领域全部论文的50%的指标;患者安全研究领域高频关键词主要包括安全管理、护理、护理管理、护理安全、患者安全文化、住院患者等;从突现词来看,护理、安全管理、患者、风险管理、医务人员、患者参与突现;从聚类图谱来看,可视化分析后得到护理安全、医疗安全、老年患者、护士、内镜、重症监护病房、跌倒7个聚类。结论 患者安全与医疗安全、护理安全、老年患者安全等主题是我国患者安全领域的研究热点,而患者安全的价值理念和话语体系、政策定位与法律法规更新、科学的评价指标体系尚未成为关注热点,患者参与患者安全、患者安全效果评价和指标体系、患者安全信息化是未来的发展趋势。

关键词: 患者安全, 安全文化, 患者参与患者安全, 文献计量学, 知识图谱分析