CiteSpace-based visualization and analysis of the current state of medical prescription research_West China Medical Journal

Authors：

LI Yuhang ^1,2 , LIU Yaxin ² , HE Wenbo ² ,  WEN Jin ²

1. West China School of Public Health, Sichuan University / West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WEN Jin, Email: huaxiwenjin@163.com

Keywords：

CiteSpace; medical advice; visualization analysis

DOI：

10.7507/1002-0179.202312002

Video：

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Objective To analyze the research hotspots and development trend of medical advice at home and abroad, and provide the basis for the research related to medical advice in China. Methods The China National Knowledge Infrastructure and Web of Science were searched from January 1991 to November 2023 to collect domestic and international studies on medical prescriptions. Bibliometrics and CiteSpace software were used for analysis. Results A total of 3 155 articles were included. The number of publications on medical advice reached its peak in 2013, and the trend of domestic and foreign publications was consistent; the institution with the largest number of publications in China was Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology; the top three hotspots of attention in China were rational medication use, intravenous medication dispensing center and nursing care; the top three hotspots of attention in foreign countries were care, impact, and system; the top three hotspots of attention in China were intravenous medication (centralized) dispensing center and medical prescription audit 2 emergent words emergent rate had been continued to date; foreign polst, palliative care and advance care planning 3 emergent words emergent rate had been continued to date; domestic in the past five years, the key words were quality improvement, lean management, transitional care, rationality evaluation, prescription front audit system and medication adherence; the keywords for the last five years in foreign countries were assessmen, risk factor, clincial pathway. Conclusions Domestic research on medical prescriptions needs to pay more attention to the decision-making of doctors when they give medical prescriptions and the timely monitoring of medication errors, and based on the more mature research on medical prescriptions in foreign countries, domestic research needs to combine the concepts of computer-assisted decision-making and value-based medicine to explore in-depth the correlation between medical prescriptions and the quality of medical care and patient value. It is also needed to combine computer-assisted decision-making and the concept of value-based medicine to explore the intrinsic connection between medical advice and medical quality and patient value.

Citation： LI Yuhang, LIU Yaxin, HE Wenbo, WEN Jin. CiteSpace-based visualization and analysis of the current state of medical prescription research. West China Medical Journal, 2023, 38(12): 1835-1841. doi: 10.7507/1002-0179.202312002 Copy

1.	武广华, 臧益秀, 刘运祥, 等. 中国卫生管理辞典. 北京: 中国科学技术出版社, 2001.
2.	潘冬辉, 周粉峰, 段筱妍, 等. “瑞士奶酪模型”在医嘱执行缺陷管理中的应用效果. 临床医学研究与实践, 2019, 4(15): 186-187, 198.
3.	洪碧英. 急诊科口头医嘱执行中的风险因素分析与对策. 基层医学论坛, 2017, 21(15): 2007-2008.
4.	方志蓉. 学术期刊的文献计量指标及提升其数值的途径探求. 出版发行研究, 2005(4): 66-68.
5.	朱敏, 梁朝晖, 姚林, 等. 学术引用信息可视化方法综述. 计算机科学, 2022, 49(4): 88-99.
6.	闭爱艳, 樊星花, 杨志杰, 等前置审核系统在住院药房医嘱审核中的应用. 海峡药学, 2023, 35(2): 87-89.
7.	刘锐, 何嘉, 刘秀芳, 等. 以“标准化医嘱”为重点的同质化临床教学平台在临床实习中的应用. 医学教育管理, 2018, 4(5): 401-403, 408.
8.	金桂兰, 董莹莹, 袁园, 等. 构建“高校-附属医院”同质化临床技能教学与评价体系探讨. 医学理论与实践, 2022, 35(6): 1067-1069.
9.	Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized physician order entry system. J Clin Pharm Ther, 2009, 34(2): 187-195.
10.	周瑜湉, 居羚, 华丰. 焦点管理循环法在降低某院静配中心不合理医嘱发生率中的应用. 中国处方药, 2023, 21(10): 69-72.
11.	Thompson W, Dodek PM, Norena M, et al. Computerized physician order entry of diagnostic tests in an intensive care unit is associated with improved timeliness of service. Crit Care Med, 2004, 32(6): 1306-1309.
12.	Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med, 2003, 163(12): 1409-1416.
13.	邹康, 余相满. 基于医院信息化管理系统的抗菌药物分级管理模式对医嘱管理质量及抗菌药物管理的影响. 临床医学研究与实践, 2021, 6(21): 184-186.
14.	张亚勤, 李信春, 黄茂辉, 等. 医嘱标准化的研究与应用. 中华医院管理杂志, 2000(4): 16-17.
15.	张宏, 朱光君. 医嘱查对在计算机网络中的管理. 北京军区医药, 2000(3): 182.
16.	于雪松. 护士在执行医嘱时的法律责任. 实用护理杂志, 2000(10): 42.
17.	金伟华, 陈华, 王晓蕙, 等. 医嘱中存在的用药缺陷分析. 中国医院用药评价与分析, 2010, 10(11): 1050-1052.
18.	邰美琼. 496 例患者的长期医嘱口服用药情况. 中国医药指南, 2010, 8(36): 114-115.
19.	陈静, 宋欣颖, 谷铁波, 等. 本院 2008 年住院病历医嘱中抗菌药物不合理应用分析. 今日药学, 2010, 20(12): 58-59, 62.
20.	吕红梅, 吴永佩. 我国静脉用药集中调配模式的创建与现状. 中国药房, 2021, 32(6): 641-646.
21.	郝艳芬, 高洁, 王莉芳, 等. 医院信息系统在主班护士处理医嘱中的应用. 中国病案, 2010, 11(12): 48.
22.	张楠, 闫阔, 蔡泓敏, 等. 医嘱前置审核工作模式实践和效果评价. 中国医院用药评价与分析, 2020, 20(7): 863-866,871.
23.	李家仁, 张雪良, 刘金来, 等. 住院医嘱点评及精准管控模式探讨与实践. 中国医院, 2019, 23(7): 69-71.
24.	苏克剑, 张乐, 万旭, 等. 按病种分类进行用药医嘱点评模式初探. 中国药房, 2019, 30(3): 310-313.
25.	任炳楠, 赵海静, 刘英俊, 等. 依托大数据医嘱协同处理平台对住院口服药房的流程改造. 河北省卫生和计划生育委员会, 2018.
26.	林燕, 史天陆, 谢亚文. 一线药师基于“智慧软件”的医嘱审核效果分析. 中国医院用药评价与分析, 2020, 20(07): 882-884, 888.
27.	庞才滨. 信息化技术在抗菌药物合理化应用中的作用. 微创医学, 2013, 8(4): 472-475.
28.	林小兰, 李春华, 林毓瑜, 等. 品管圈在眼科电子医嘱执行质量改进中的应用. 中国卫生标准管理, 2021, 12(3): 36-40.
29.	蔡志琴, 周福永, 王枳人. 精益管理在减少住院医嘱退药中的应用与效果分析. 医院管理论坛, 2020, 37(2): 41-43, 46.
30.	Adams ES, Longhurst CA, Pageler N, et al. Computerized physician order entry with decision support decreases blood transfusions in children. Pediatrics, 2011, 127(5): e1112-e1119.
31.	Spalding R, Edelstein B. Factors predicting collaborative willingness of surrogates making medical decisions on the Physician Order for Scope of Treatment (POST). Aging Ment Health, 2020, 24(9): 1543-1552.

1. 武广华, 臧益秀, 刘运祥, 等. 中国卫生管理辞典. 北京: 中国科学技术出版社, 2001.
2. 潘冬辉, 周粉峰, 段筱妍, 等. “瑞士奶酪模型”在医嘱执行缺陷管理中的应用效果. 临床医学研究与实践, 2019, 4(15): 186-187, 198.
3. 洪碧英. 急诊科口头医嘱执行中的风险因素分析与对策. 基层医学论坛, 2017, 21(15): 2007-2008.
4. 方志蓉. 学术期刊的文献计量指标及提升其数值的途径探求. 出版发行研究, 2005(4): 66-68.
5. 朱敏, 梁朝晖, 姚林, 等. 学术引用信息可视化方法综述. 计算机科学, 2022, 49(4): 88-99.
6. 闭爱艳, 樊星花, 杨志杰, 等前置审核系统在住院药房医嘱审核中的应用. 海峡药学, 2023, 35(2): 87-89.
7. 刘锐, 何嘉, 刘秀芳, 等. 以“标准化医嘱”为重点的同质化临床教学平台在临床实习中的应用. 医学教育管理, 2018, 4(5): 401-403, 408.
8. 金桂兰, 董莹莹, 袁园, 等. 构建“高校-附属医院”同质化临床技能教学与评价体系探讨. 医学理论与实践, 2022, 35(6): 1067-1069.
9. Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized physician order entry system. J Clin Pharm Ther, 2009, 34(2): 187-195.
10. 周瑜湉, 居羚, 华丰. 焦点管理循环法在降低某院静配中心不合理医嘱发生率中的应用. 中国处方药, 2023, 21(10): 69-72.
11. Thompson W, Dodek PM, Norena M, et al. Computerized physician order entry of diagnostic tests in an intensive care unit is associated with improved timeliness of service. Crit Care Med, 2004, 32(6): 1306-1309.
12. Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med, 2003, 163(12): 1409-1416.
13. 邹康, 余相满. 基于医院信息化管理系统的抗菌药物分级管理模式对医嘱管理质量及抗菌药物管理的影响. 临床医学研究与实践, 2021, 6(21): 184-186.
14. 张亚勤, 李信春, 黄茂辉, 等. 医嘱标准化的研究与应用. 中华医院管理杂志, 2000(4): 16-17.
15. 张宏, 朱光君. 医嘱查对在计算机网络中的管理. 北京军区医药, 2000(3): 182.
16. 于雪松. 护士在执行医嘱时的法律责任. 实用护理杂志, 2000(10): 42.
17. 金伟华, 陈华, 王晓蕙, 等. 医嘱中存在的用药缺陷分析. 中国医院用药评价与分析, 2010, 10(11): 1050-1052.
18. 邰美琼. 496 例患者的长期医嘱口服用药情况. 中国医药指南, 2010, 8(36): 114-115.
19. 陈静, 宋欣颖, 谷铁波, 等. 本院 2008 年住院病历医嘱中抗菌药物不合理应用分析. 今日药学, 2010, 20(12): 58-59, 62.
20. 吕红梅, 吴永佩. 我国静脉用药集中调配模式的创建与现状. 中国药房, 2021, 32(6): 641-646.
21. 郝艳芬, 高洁, 王莉芳, 等. 医院信息系统在主班护士处理医嘱中的应用. 中国病案, 2010, 11(12): 48.
22. 张楠, 闫阔, 蔡泓敏, 等. 医嘱前置审核工作模式实践和效果评价. 中国医院用药评价与分析, 2020, 20(7): 863-866,871.
23. 李家仁, 张雪良, 刘金来, 等. 住院医嘱点评及精准管控模式探讨与实践. 中国医院, 2019, 23(7): 69-71.
24. 苏克剑, 张乐, 万旭, 等. 按病种分类进行用药医嘱点评模式初探. 中国药房, 2019, 30(3): 310-313.
25. 任炳楠, 赵海静, 刘英俊, 等. 依托大数据医嘱协同处理平台对住院口服药房的流程改造. 河北省卫生和计划生育委员会, 2018.
26. 林燕, 史天陆, 谢亚文. 一线药师基于“智慧软件”的医嘱审核效果分析. 中国医院用药评价与分析, 2020, 20(07): 882-884, 888.
27. 庞才滨. 信息化技术在抗菌药物合理化应用中的作用. 微创医学, 2013, 8(4): 472-475.
28. 林小兰, 李春华, 林毓瑜, 等. 品管圈在眼科电子医嘱执行质量改进中的应用. 中国卫生标准管理, 2021, 12(3): 36-40.
29. 蔡志琴, 周福永, 王枳人. 精益管理在减少住院医嘱退药中的应用与效果分析. 医院管理论坛, 2020, 37(2): 41-43, 46.
30. Adams ES, Longhurst CA, Pageler N, et al. Computerized physician order entry with decision support decreases blood transfusions in children. Pediatrics, 2011, 127(5): e1112-e1119.
31. Spalding R, Edelstein B. Factors predicting collaborative willingness of surrogates making medical decisions on the Physician Order for Scope of Treatment (POST). Aging Ment Health, 2020, 24(9): 1543-1552.

West China Medical Journal

CiteSpace-based visualization and analysis of the current state of medical prescription research

Abstract Full text Figures/Tables Video References Cited by

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