Lack of education contributes to misunderstandings and unhelpful preconceptions. This article discusses biases affecting the care of patients who are overweight. It introduces an educational effort to raise awareness of potential diagnostic and treatment actions affected by clinician bias to decrease safety for this patient population.
Pohlman KA, Funabashi M, Ndetan H, et al. J Manipulative Physiol Ther. 2020;43:845-854.
Research has identified barriers to voluntary event reporting among chiropractors. Based on patient symptom questionnaires, this study assessed the feasibility of an active surveillance reporting system to determine the frequency of adverse events (AEs) after treatment by chiropractic interns. Qualitative interviews suggest that the system was well-accepted and endorsed use of an electronic (versus paper) surveillance system.
Johnson CD, Green BN, Konarski-Hart KK, et al. J Manipulative Physiol Ther. 2020;43:403.e1-403.e21.
An international sample of chiropractic practitioners described actions taken by their practices in response to the COVID-19 pandemic. Practitioners discuss using innovative strategies such as telehealth to continue providing patient-centered care while complying with local regulations.
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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