Noyer AL, Esteves JE, Thomson OP. Chiropr Man Therap. 2017;25:32.
This study of diagnostic reasoning among osteopathy students found that when the case was perceived as more complex, students relied more on analytical thinking and less on intuition. The authors suggest that students receive training to develop intuitive diagnostic thinking.
Rossi EG, Bellandi T, Picchi M, et al. Medicines (Basel). 2017;4.
Failure mode and effect analysis is a process used to prospectively identify error risk within a particular process. This study describes the application of failure mode and effect analysis to better understand the patient safety hazards associated with the practice of complementary medicine, including acupuncture and homeopathy.
Pohlman KA, Carroll L, Hartling L, et al. J Manipulative Physiol Ther. 2016;39:487-493.
This study used the AHRQ Medical Office Survey on Patient Safety Culture to assess safety culture in pediatric chiropractic offices. Respondents generally had a positive view of safety culture compared to 2014 benchmarking data, but some expressed concerns about the effect of production pressures on safety.
Pohlman KA, Carroll L, Hartling L, et al. J Evid Based Complementary Altern Med. 2016;21:105-109.
This survey of pediatric chiropractors found that time pressure and concerns about patients' responses were the most common barriers to participating in voluntary reporting and learning systems. It is likely that this practitioner type must improve its safety culture in order for incident reporting to be a fruitful safety strategy.
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