A Model Framework for Patient Safety Training in Chiropractic: A Literature Synthesis

Zaugg, Beatrice; Wangler, Martin

doi:10.1016/j.jmpt.2009.06.004

Cited by 7 publications

(9 citation statements)

References 60 publications

(18 reference statements)

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“…Strong leadership, which uses participative and value‐influencing behaviours, was emphasized as it is associated with successful reporting and learning (Zaugg & Wangler 2009), and clear guidelines on acceptable behaviour and expectations for the staff were noted to enhance patient safety (Napier & Knox 2006). Simple, up‐to‐date, accessible guidelines made considering the local situation, help staff to decide about appropriate care (Scholefield 2008).…”

Section: Resultsmentioning

confidence: 99%

“…Part of the organization management's role was specified as the mission and goals it has concerning patient safety. The learning organization approach with an open mindset, co‐operative climate, and enhanced communication has a positive connection to patient safety (Zaugg & Wangler 2009). Systems which help to identify, assess and manage the risks (Ilan & Fowler 2005, Scholefield 2007) and have safe incident reporting where serious, even corrected, mishaps are also noted are important.…”

Section: Resultsmentioning

confidence: 99%

“…In general patient safety is defined as freedom from accidental or preventable injuries produced by medical care (Zaugg & Wangler 2009) and patient safety practices as practices which reduce the risk of adverse events (Ilan & Fowler 2005). When patient safety is discussed, the terms ‘error’ and ‘adverse event’ are also used.…”

Section: Introductionmentioning

confidence: 99%

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Patient safety in psychiatric inpatient care: a literature review

Kanerva

Lammintakanen

Kivinen

2012

Psychiatric Ment Health Nurs

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Patient safety is widely discussed, but little has been written from the perspective of psychiatric inpatient care, nor on which factors create its patient safety. This paper seeks to understand the concept of patient safety and its intension in psychiatric inpatient care, and to identify factors in organization management, staff and patients' roles which constitute patient safety in such units. A literature search was conducted, and the articles selected were analysed by identifying factors defined to be connected to patient safety and classifying them according to their connection to organization management, staff and patient roles. According to the literature, organization safety culture is present in all aspects of patient safety. Organization management has the main role in patient safety within the organization culture, for example, through leadership, safety practices and creating good working conditions and environment for the staff. Staff's role is influenced by management, but has more individual input in different areas, while the patient's role is more that of an informant so that care can be planned according to the patient's preferences. When developing patient safety it is important to remember the diversity of the concept so that all areas are considered in the developmental work.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Patient safety in psychiatric inpatient care: a literature review

Kanerva

Lammintakanen

Kivinen

2012

Psychiatric Ment Health Nurs

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“…In order to promote a change in attitudes towards greater patient safety, information and education should be part of the training of future chiropractors. With the help of a literature synthesis[26], 10 factors developed by Bland and co-workers[27] were adapted for successful promotion of patient safety competence in private practice, i.e. reporting and learning from adverse events in chiropractic care.…”

Section: Discussionmentioning

confidence: 99%

Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure

Wangler¹,

Fujikawa

Hestbæk

et al. 2011

Chiropr Man Therap

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BackgroundIn 2009, the heads of the Executive Council of the European Chiropractors' Union (ECU) and the European Academy of Chiropractic (EAC) involved in the European Committee for Standardization (CEN) process for the chiropractic profession, set out to establish European guidelines for the reporting of adverse reactions to chiropractic treatment. There were a number of reasons for this: first, to improve the overall quality of patient care by aiming to reduce the application of potentially harmful interventions and to facilitate the treatment of patients within the context of achieving maximum benefit with a minimum risk of harm; second, to inform the training objectives for the Graduate Education and Continuing Professional Development programmes of all 19 ECU member nations, regarding knowledge and skills to be acquired for maximising patient safety; and third, to develop a guideline on patient safety incident reporting as it is likely to be part of future CEN standards for ECU member nations.ObjectiveTo introduce patient safety incident reporting within the context of chiropractic practice in Europe and to help individual countries and their national professional associations to develop or improve reporting and learning systems.DiscussionProviding health care of any kind, including the provision of chiropractic treatment, can be a complex and, at times, a risky activity. Safety in healthcare cannot be guaranteed, it can only be improved. One of the most important aspects of any learning and reporting system lies in the appropriate use of the data and information it gathers. Reporting should not just be seen as a vehicle for obtaining information on patient safety issues, but also be utilised as a tool to facilitate learning, advance quality improvement and to ultimately minimise the rate of the occurrence of errors linked to patient care.ConclusionsBefore a reporting and learning system can be established it has to be clear what the objectives of the system are, what resources will be required and whether the implementing organisation has the capacity to operate the system to its full advantage. Responding to adverse event reports requires the availability of experts to analyse the incidents and to provide feedback in a timely fashion. A comprehensive strategy for national implementation must be in place including, but not limited to, presentations at national meetings, the provision of written information to all practitioners and the running of workshops, so that all stakeholders fully understand the purposes of adverse event reporting. Unless this is achieved, any system runs the risk of failure, or at the very least, limited usefulness.

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“…Further consideration to reporting adverse events and effects should be considered in future studies. 33,34,38 We were unable to obtain the baseline visit data from the chiropractors on 3 patients, yet subsequent data were collected from them. Thus, there was a discrepancy between the total number of patients in the study (ie, 99) and the number of patients from which baseline data were available (ie, 96).…”

Section: Limitationsmentioning

confidence: 99%

Chiropractic care for patients with acute neck pain: results of a pragmatic practice-based feasibility study

Haneline

Cooperstein

2009

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to determine the feasibility of a chiropractic practice-based research network to investigate the treatment of acute neck pain (ANP) and to report resulting findings. Methods: Participating chiropractors recruited sequentially presenting ANP patients on their initial visit to the office. Patients were treated by the chiropractors using their usual methods. Data were prospectively collected by having patients complete the Neck Disability Index, Characteristic Pain Intensity score, and a patient satisfaction questionnaire. Questionnaires were completed during routine office visits at baseline and then at weeks 1, 2, 4, 8, and 26, either in the office or by mail. Results: Ten chiropractors supplied data on 99 patients. The number of cases contributed by each of the participating chiropractors ranged from 1 to 54, with a mean (SD) of 9.2 (10.5). Mean (SD) Neck Disability Index scores were 36 (17.9) at baseline and 9.8 (12.2) at the final evaluation; the Characteristic Pain Intensity scores were initially 55.3 (20.4) and were 24.5 (21.5) at the final evaluation. Transient minimal adverse effects were reported by chiropractors for only 7 (7.8%) patients. No serious adverse reactions were reported. Conclusion: The practice-based research methodology used in this study appears to be a feasible way to investigate chiropractic care for ANP, and its methodologies could be used to plan future research.

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A Model Framework for Patient Safety Training in Chiropractic: A Literature Synthesis

Cited by 7 publications

References 60 publications

Patient safety in psychiatric inpatient care: a literature review

Patient safety in psychiatric inpatient care: a literature review

Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure

Chiropractic care for patients with acute neck pain: results of a pragmatic practice-based feasibility study

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