Exploring approaches to patient safety: the case of spinal manipulation therapy.
Approach to Improving Safety
Setting of Care
This qualitative study sought to assess safety culture among practitioners performing spinal manipulation, mostly chiropractors and physiotherapists. Investigators found that concerns about patient safety were mingled with issues such as competing for business in a fee-for-service model and establishing professionalism when credentials are not consistent. They suggest that a shared understanding of the risks associated with spinal manipulation is needed before incident reporting across multiple practitioner types can be implemented.