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JManipulativePhysiolTher.2016Sep39(7):48793.doi:10.1016/j.jmpt.2016.06.003.Epub2016Aug13.
AttitudesandOpinionsofDoctorsofChiropracticSpecializingin
PediatricCareTowardPatientSafety:ACrosssectionalSurvey.
PohlmanKA1,CarrollL2,HartlingL3,TsuyukiR4,VohraS5.
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Abstract
OBJECTIVE: Thepurposeofthiscrosssectionalsurveywastoevaluateattitudesandopinionsof
doctorsofchiropractic(DCs)specializinginpediatriccaretowardpatientsafety.
METHODS: TheMedicalOfficeSurveyonPatientSafetyCultureoftheAgencyforHealthcare
ResearchandQualitywasadaptedforproviderswhousespinalmanipulationtherapyandsent
outto2USchiropracticorganizations'pediatriccouncilmembers(n=400)betweenFebruary
andApril2014.Thesurveymeasured12patientsafetydimensionsandincludedquestionson
patientsafetyitemsandqualityissues,informationexchange,andoverallclinicratings.Data
analysesincludedapercentcompositeaverageandanonrespondentanalysis.
RESULTS: Theresponseratewas29.5%(n=118).Almostonethirdofrespondents'patients
werepediatric(17yearsofage).DCswithapediatriccertificationwere3timesmorelikelyto
respond(P<.001),butlittlequalitativedifferenceswerefoundinresponses.Thepatientsafety
dimensionswiththehighestpositivecompositepercentageswereOrganizationalLearning(both
administrationandclinical)andTeamwork(>90%).PatientCareTracking/FollowupandWork
PressureandPacewerepatientsafetydimensionsthathadthelowestpositivecompositescores
(<85%).Theresponsesalsoindicatedthattherewasconcernregardinginformationexchange
withinsurance/thirdpartypayors.Twoqualityissuesidentifiedforimprovementwere(1)updating
apatient'smedicationlistand(2)followinguponcriticallyabnormalresultsfromalaboratoryor
imagingtestwithin1day.Theaverageoverallpatientsafetyratingscoreindicatedthat83%of
respondentsratedthemselvesas"verygood"or"excellent."
CONCLUSIONS: Comparedwith2014AgencyforHealthcareResearchandQualityphysician
referentdatafrommedicaloffices,pediatricDCsappeartohavemorepositivepatientsafety
attitudesandopinions.Futurepatientsafetystudiesneedtoprospectivelyevaluatesafety
performancewithdirectfeedbackfrompatientsandcompareresultswiththeseselfassessed
safetyattitudes,aswellasmakefurtheruseofthissurveytodevelopacomparabledatabasefor
spinalmanipulationproviders.
Copyright2016.PublishedbyElsevierInc.
KEYWORDS: ChiropracticPatientSafetyPediatricsQualityImprovement
PMID:27530089 DOI:10.1016/j.jmpt.2016.06.003
[PubMedinprocess]
https://www.ncbi.nlm.nih.gov/pubmed/27530089 1/2
20/2/2017 AttitudesandOpinionsofDoctorsofChiropracticSpecializinginPediatricCareTowardPatientSafety:ACrosssectionalSurvey.PubMedNCBI
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https://www.ncbi.nlm.nih.gov/pubmed/27530089 2/2