医疗质量监控中的控制图：系统回顾与文献计量分析》。

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal for Quality in Health Care Pub Date : 2024-07-19 DOI:10.1093/intqhc/mzae060

Muhammad Waqas, Song Hua Xu, Sajid Hussain, Muhammad Usman Aslam

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引用次数: 0

摘要

背景控制图用于医疗运营，以监控流程的稳定性和质量，对于确保患者安全和改善临床结果至关重要。这项综合研究旨在通过系统综述和开创性的文献计量学分析这两种方法，全面了解控制图在医疗质量监控中的作用和未来前景。材料与方法对 223 篇文章中的 73 篇进行了系统综述，综合了现有文献（1995-2023 年），揭示了控制图在医疗保健中的主要趋势、方法论途径和新兴主题。与此同时，还对从 Web of Science 和 Scopus 收集到的 184 篇文章进行了文献计量分析（1990-2023 年），对医疗保健领域控制图的学术前景进行了定量评估。结果在 25 个国家中，美国是控制图的主要使用者，占所有应用的 33%，而在 14 个卫生部门中，流行病学占 28%。在过去三年中，控制图在健康监测中的应用增加了三分之一以上。在全球范围内，指数加权移动平均（EWMA）图表最受欢迎，但有趣的是，美国仍然是使用 Shewhart 图表最多的国家。研究还揭示了医疗质量监测领域的动态格局，包括主要贡献者、研究网络、研究热点趋势和领先国家。J.C. Benneyan、W.H. Woodall 和 M.A. Mohammed 等具有影响力的作者在这一领域发挥了主导作用。在国家网络中，美国-英国是最大的集群，其他集群包括丹麦-挪威-瑞典、中国-新加坡和加拿大-南非。从 1990 年到 2023 年，医疗监测从研究效率发展到关注条件监测和流程图，2011-2020 年以人类健康、患者安全和健康调查为主，近几年强调流行病控制、COVID-19 SPC、医院和使用控制图的人类健康监测。它确定了从传统方法到人工智能（AI）方法的过渡，在工业 4.0 的背景下，机器学习（ML）和深度学习（DL）的贡献越来越大。新的研究人员和期刊不断涌现，重塑了医疗控制图的学术背景。讨论与结论我们的研究揭示了医疗质量监控不断演变的格局，超越了传统的评论。我们发现了新的趋势、研究缺口，以及在技术进步的同时，领导层正从老牌贡献者向新人过渡。这项研究深化了控制图的重要性，为医疗专业人员、研究人员和政策制定者提供了提高医疗质量的见解。同时还提供了未来的挑战和研究方向。

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Control charts in healthcare quality monitoring: a systematic review and bibliometric analysis.

Control charts, used in healthcare operations to monitor process stability and quality, are essential for ensuring patient safety and improving clinical outcomes. This comprehensive research study aims to provide a thorough understanding of the role of control charts in healthcare quality monitoring and future perspectives by utilizing a dual methodology approach involving a systematic review and a pioneering bibliometric analysis. A systematic review of 73 out of 223 articles was conducted, synthesizing existing literature (1995-2023) and revealing insights into key trends, methodological approaches, and emerging themes of control charts in healthcare. In parallel, a bibliometric analysis (1990-2023) on 184 articles gathered from Web of Science and Scopus was performed, quantitatively assessing the scholarly landscape encompassing control charts in healthcare. Among 25 countries, the USA is the foremost user of control charts, accounting for 33% of all applications, whereas among 14 health departments, epidemiology leads with 28% of applications. The practice of control charts in health monitoring has increased by more than one-third during the last 3 years. Globally, exponentially weighted moving average charts are the most popular, but interestingly the USA remained the top user of Shewhart charts. The study also uncovers a dynamic landscape in healthcare quality monitoring, with key contributors, research networks, research hotspot tendencies, and leading countries. Influential authors, such as J.C. Benneyan, W.H. Woodall, and M.A. Mohammed played a leading role in this field. In-countries networking, USA-UK leads the largest cluster, while other clusters include Denmark-Norway-Sweden, China-Singapore, and Canada-South Africa. From 1990 to 2023, healthcare monitoring evolved from studying efficiency to focusing on conditional monitoring and flowcharting, with human health, patient safety, and health surveys dominating 2011-2020, and recent years emphasizing epidemic control, COronaVIrus Disease of 2019 (COVID-19) statistical process control, hospitals, and human health monitoring using control charts. It identifies a transition from conventional to artificial intelligence approaches, with increasing contributions from machine learning and deep learning in the context of Industry 4.0. New researchers and journals are emerging, reshaping the academic context of control charts in healthcare. Our research reveals the evolving landscape of healthcare quality monitoring, surpassing traditional reviews. We uncover emerging trends, research gaps, and a transition in leadership from established contributors to newcomers amidst technological advancements. This study deepens the importance of control charts, offering insights for healthcare professionals, researchers, and policymakers to enhance healthcare quality. Future challenges and research directions are also provided.

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来源期刊

International Journal for Quality in Health Care 医学-卫生保健

CiteScore

4.90

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal for Quality in Health Care makes activities and research related to quality and safety in health care available to a worldwide readership. The Journal publishes papers in all disciplines related to the quality and safety of health care, including health services research, health care evaluation, technology assessment, health economics, utilization review, cost containment, and nursing care research, as well as clinical research related to quality of care. This peer-reviewed journal is truly interdisciplinary and includes contributions from representatives of all health professions such as doctors, nurses, quality assurance professionals, managers, politicians, social workers, and therapists, as well as researchers from health-related backgrounds.