The "To Err is Human" report and the patient safety literature
The "To Err is Human" report and the patient safety literature
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DOI：
10.1136/qshc.2006.017947
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发表时间：
2006-06-01
影响因子：
--
通讯作者：
Bates, D. W.
中科院分区：
文献类型：
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作者：
Stelfox, H. T.;Palmisani, S.;Bates, D. W.
背景：医学研究所 (IOM) 于 1999 年发布的《人性本善》报告呼吁全国努力提高医疗保健安全性。尽管该报告被广泛认为催生了研究和提高医疗保健安全性的努力，但对其影响的客观评估有限。我们评估了 IOM 报告对患者安全出版物和研究奖项的影响。方法：我们搜索 MEDLINE 以识别 11 月 1 日期间发表的有关患者安全和医疗错误的英文文章1994 年和 2004 年 11 月 1 日。使用间断时间序列分析，测量了患者安全出版物的数量、类型和主题的变化。我们还检查了 1995 年至 2004 财年患者安全研究奖励的联邦资助。结果：在 10 年研究期间，总共发表了 5514 篇关于患者安全和医疗错误的文章。患者安全出版物的比率从 59 篇增加到 164 篇。 IOM 报告发布后，每 100 000 份 MEDLINE 出版物中发表的文章数有所增加（p < 0.001），报告发布后，所有类型的患者安全文章的发表率从平均每 100 000 份 MEDLINE 出版物中的 24 篇增加到 41 篇（p，0.001），而患者安全研究奖项从每 100 篇中的 5 篇增加到 141 篇。 000 个联邦资助的生物医学研究奖项（p，0.001）。IOM 报告之前，患者安全出版物中最常见的主题是医疗事故（6% vs 2%，p< 0.001），而报告发布后，组织文化是最常见的主题（1% vs 5%，p< 0.001）。结论：《人性都会犯错》报告的发表与患者安全出版物数量的增加有关，研究奖项。该报告似乎激发了有关患者安全问题的研究和讨论，但这是否会转化为更安全的患者护理仍然未知。
Background: The "To Err is Human'' report published by the Institute of Medicine (IOM) in 1999 called for a national effort to make health care safer. Although the report has been widely credited with spawning efforts to study and improve safety in health care, there has been limited objective assessment of its impact. We evaluated the effects of the IOM report on patient safety publications and research awards.Methods: We searched MEDLINE to identify English language articles on patient safety and medical errors published between 1 November 1994 and 1 November 2004. Using interrupted time series analyses, changes in the number, type, and subject matter of patient safety publications were measured. We also examined federal ( US only) funding of patient safety research awards for the fiscal years 1995 - 2004.Results: A total of 5514 articles on patient safety and medical errors were published during the 10 year study period. The rate of patient safety publications increased from 59 to 164 articles per 100 000 MEDLINE publications ( p< 0.001) following the release of the IOM report. Increased rates of publication were observed for all types of patient safety articles. Publications of original research increased from an average of 24 to 41 articles per 100 000 MEDLINE publications after the release of the report ( p, 0.001), while patient safety research awards increased from 5 to 141 awards per 100 000 federally funded biomedical research awards ( p, 0.001). The most frequent subject of patient safety publications before the IOM report was malpractice (6% v 2%, p< 0.001) while organizational culture was the most frequent subject (1% v 5%, p< 0.001) after publication of the report.Conclusions: Publication of the report "To Err is Human'' was associated with an increased number of patient safety publications and research awards. The report appears to have stimulated research and discussion about patient safety issues, but whether this will translate into safer patient care remains unknown.