国内外2012年至2016年护理安全研究热点分析

Research hotspots in nursing safety from 2012 to 2016 at home and abroad

目的分析国内外护理安全研究热点，并探讨相关趋势。方法应用双向聚类的文献计量方法，对2012年至2016年PubMed数据库和万方数据库中收录的有关护理安全文献共4327篇进行分析。结果国内护理安全研究热点主要集中于不良事件、优质护理服务、质量评价指标、工作失误和安全文化5个方面；国外则主要集中于系统原因分析、质量敏感指标、团队合作与护理安全、安全文化和护士工作环境对质量与安全的影响5个方面。结论国内可更加深入细化地通过多学科团队合作等综合方法，探讨开发不良事件的评估工具，确立统一的护理敏感指标体系并持续改进。此外，建立全国性规范化的护理不良事件报告系统，借助信息技术建立大型数据平台实现信息共享，从安全环境、组织管理等方面关注护理安全，是国内未来研究的必然趋势。

Objective To analyze the research hotspots and future trend of nursing safety＇. Methods Biclustering analysis was adopted to analyze the nursing safety literature in PubMed and Wanfang databases from 2012 to 2016 through the bibliographic contribution system BICOMB and graph clustering toolkit gCLUTO 1.0. Results Domestic nursing safety research fronts from 2012 to 2016 focused on adverse events, quality care services, quality evaluation indicators, work errors and safety culture. On the other hand, overseas nursing safety researches focused on system analysis, nursing quality sensitive indicators, teamwork and nursing safety, and the impacts of nursing work environment on quality and safety. Conclusions Comprehensive means of multi-disciplinary teamwork can be called into play for in-depth study of deloping adverse events assessment tools, establishing a unified nursing sensitive indicator system and continuous improvement. The future research trends are establishing a national standardized nursing adverse events reporting system, using information technology to build a big data platform for information sharing and exploring nursing safety from the security environment and organization management.