{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:29:42Z","timestamp":1787923782727,"version":"build-2784847793"},"reference-count":81,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Communication is increasingly positioned in patient safety research as a cross-cutting domain influencing multiple care processes. However, its structural organization within the scientific literature remains insufficiently integrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to conduct a large-scale bibliometric analysis of the scientific field linking communication and medical errors and to propose a conceptual communication governance framework integrating the identified communication domains into a coherent structure relevant to healthcare, including nursing practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a bibliometric analysis of 13,431 publications indexed in the Web of Science Core Collection (search date: 21 February 2026). Publication trends, thematic evolution, keyword co-occurrence, and international collaboration networks were analyzed using Web of Science analytical tools, the bibliometrix R package, and VOSviewer. To ensure robustness, results were cross-validated with an equivalent Scopus dataset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Publication activity increased exponentially after 2000, exceeding 1,000 publications annually after 2020. Four developmental phases were identified: clinical-descriptive (1964\u20131999), systemic patient safety (2000\u20132010), team- and patient-centered (2011\u20132019), and digital and hybrid communication (2020\u20132026). Five major thematic clusters emerged: pharmacotherapy safety, teamwork and human factors, information transfer and patient-centered communication, digital infrastructure, and organizational safety culture. The United States, England, and Australia dominated scientific output, with contributions from 139 countries\/regions overall. Communication is embedded in multiple patient safety areas across the knowledge network. Cross-database analysis established strong temporal consistency between the Web of Science and Scopus datasets\n                      <jats:italic>(r<\/jats:italic>\n                      = 0.985), with consistent bibliometric patterns across both databases, indicating a stable intellectual structure of the field.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that communication is consistently conceptualized in the literature as a multilevel governance domain within patient safety systems. The proposed conceptual communication governance framework provides a structured basis for refining empirical data, developing clinical risk indicators, and conducting safety research involving nurses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1856744","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:50:38Z","timestamp":1787921438000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Communication and medical errors: a bibliometric analysis of research trends and knowledge structures"],"prefix":"10.3389","volume":"13","author":[{"given":"Birgit","family":"Hladschik-Kermer","sequence":"first","affiliation":[{"name":"Unit Medical Psychology, Department of Public Mental Health, Center for Public Health, Medical University of Vienna","place":["Vienna, 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Austria"]},{"name":"Department of Biotechnology and Nutrigenomics, Institute of Genetics and Animal Biotechnology of the Polish Academy of Sciences","place":["Magdalenka, Poland"]},{"name":"Department of Biochemistry, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai","place":["Tamil Nadu, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Wochele-Thoma","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute Digital Health and Patient Safety, Medical University of Vienna","place":["Vienna, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"B1","volume-title":"To Err Is Human: Building a Safer Health System.","year":"2000"},{"key":"B2","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1136\/bmj.322.7285.517","article-title":"Adverse events in British hospitals: preliminary 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