title: Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective.
abstract: A reporting and learning system is a method of monitoring the occurrence of incidents that affect patient safety. This cross-sectional survey asked pediatric chiropractors about factors that may limit their participation in such a system. The list of potential barriers for participation was developed using a systematic approach. All members of the 2 pediatric councils associated with US national chiropractic organizations were invited to complete the survey (N = 400). The cross-sectional survey was created using an online survey tool (REDCap) and sent directly to member emails addressed by the respective executive committees. Of the 400 potential respondents, 81 responded (20.3%). The most common limitations to participating were identified as time pressure (96%) and patient concerns (81%). Reporting and learning systems have been utilized to increase safety awareness in many high-risk industries. To be successful, future patient safety studies with pediatric chiropractors need to ensure these barriers are understood and addressed.
authors.affiliation: University of Alberta, Edmonton, Alberta, Canada Parker University, Dallas, Texas, USA.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Pohlman
authors.affiliation: University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Linda
authors.initials: L
authors.lastname: Carroll
authors.affiliation: University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Lisa
authors.initials: L
authors.lastname: Hartling
authors.affiliation: University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Ross T
authors.initials: RT
authors.lastname: Tsuyuki
authors.affiliation: University of Alberta, Edmonton, Alberta, Canada careteam@ualberta.ca.
authors.forename: Sunita
authors.initials: S
authors.lastname: Vohra
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic / Q000706:statistics & numerical data*; D061214:Patient Safety / Q000592:standards*; D010372:Pediatrics / Q000592:standards* / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data*
keywords: doctor of chiropractic; patient safety; pediatric; spinal manipulation