• Funabashi M
• Pohlman KA
• Mior S
• O’Beirne M
• Westaway M
• De Carvalho D
• El-Bayoumi M
• Haig B
• Wade DJ
• Thiel HW
• Cassidy JD
• Hurwitz EL
• Kawchuk GN
• Vohra S

• Affiliation / AECC University College
• Affiliation / Canadian Memorial Chiropractic College (CMCC)
• Affiliation / McMaster University. Faculty of Health Sciences
• Affiliation / Memorial University of Newfoundland. Faculty of Medicine
• Affiliation / New Brunswick Chiropractors’ Association
• Affiliation / Newfoundland & Labrador Chiropractic Association
• Affiliation / Ontario Chiropractic Association
• Affiliation / Parker University
• Affiliation / Private Practice
• Affiliation / University of Alberta. Faculty of Medicine and Dentistry
• Affiliation / University of Alberta. Faculty of Medicine and Dentistry. Department of Pediatrics
• Affiliation / University of Alberta. Faculty of Rehabilitation Medicine
• Affiliation / University of Calgary. Faculty of Medicine. Department of Family Medicine
• Affiliation / University of Hawaii. Office of Public Health Studies
• Affiliation / University of Southern Denmark. Department of Sports Science and Clinical Biomechanics
• Affiliation / University of Toronto. Dalla Lana School of Public Health
• Affiliation / University of Toronto. University Health Network. Division of Health Care and Outcomes Research
• Affiliation(G) / Canada / Alberta / Calgary
• Affiliation(G) / Canada / Alberta / Edmonton
• Affiliation(G) / Canada / Newfoundland and Labrador / St. John's
• Affiliation(G) / Canada / Ontario / Hamilton
• Affiliation(G) / Canada / Ontario / Toronto
• Affiliation(G) / Denmark / Odense
• Affiliation(G) / England / Bournemouth
• Affiliation(G) / United States / Hawaii / Honolulu
• Affiliation(G) / United States / Texas / Dallas
• Health Knowledge, Attitudes, Practice
• In Process Citation
• Manipulation, Spinal
• Open Access Document
• Patient Safety
• Surveys and Questionnaires

Objectives: To: 1) develop/adapt and validate an instrument to measure patient safety attitudes and opinions of community-based spinal manipulative therapy (SMT) providers; 2) implement the instrument; and 3) compare results among healthcare professions.

Methods: A review of the literature and content validation were used for the survey development. Community-based chiropractors and physiotherapists in 4 Canadian provinces were invited.

Results: The Agency for Healthcare Research and Quality’s (AHRQ) Medical Office Survey on Patient Safety Culture was the preferred instrument. The survey was modified and validated, measuring 14 patient safety dimensions. 276 SMT providers volunteered to respond to the survey. Generally, SMT providers had similar or better patient safety dimension scores compared to the AHRQ 2016 medical offices database.

Discussion: We developed the first instrument measuring patient safety attitudes and opinions of community-based SMT providers. This instrument provides understanding of SMT providers’ opinions and attitudes on patient safety and identifies potential areas for improvement.

Author keywords: chiropractic, patient safety, survey, spinal manipulation

Author affiliations: MF, SM: Canadian Memorial Chiropractic College, Toronto ON, Canada; KAP: CARE Program, Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton AB, Canada; KAP: Parker University, Dallas, TX, USA; MO'B: Department of Family Medicine, Faculty of Medicine, University of Calgary, Calgary AB Canada; MW: Private practice, Calgary, AB; MW: Faculty of Health Sciences, Physiotherapy Faculty, McMaster University, Hamilton ON, Canada; DdeC: Faculty of Medicine, Memorial University of Newfoundland, St. John's NF, Canada; ME-B: New Brunswick Chiropractors’ Association; BH: Ontario Chiropractic Association; DJW: Newfoundland & Labrador Chiropractic Association; HWT: AECC University College, Bournemouth, England; JDC: Division of Epidemiology, Dalla Lana School of Public Health, Toronto ON; JDC: Division of Health Care and Outcomes Research, University Health Network, Toronto ON; JDC: Department of Sports Science and Clinical Biomechanics, Faculty of Health, University of Southern Denmark, Odense; EH: Office of Public Health Studies, University of Hawaii, Honolulu, HI, USA;  GNK: Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton AB; SV: Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton AB

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. PubMed Record  |  Publisher link

Objectifs : 1) Élaborer/adapter et valider un instrument servant à évaluer les attitudes à l’égard de la sécurité du patient et les opinions des praticiens effectuant des manipulations vertébrales (MV); 2) adopter cet instrument; et 3) comparer les résultats obtenus entre les professionnels de la santé.

Méthodologie : Pour élaborer le sondage, on a revu la littérature, on a validé le contenu et on a invité des chiropraticiens et des physiothérapeutes de quatre provinces canadiennes à participer.

Résultats : Le Medical Office Survey on Patient Safety Culture de l’Agency for Healthcare Research and Quality’s (AHRQ) était l’instrument préféré. Le sondage a été modifié et validé et a servi à mesurer 14 aspects de la sécurité du patient. 276 professionnels effectuant des MV ont accepté de répondre au sondage. En règle générale, les cotes obtenues chez les professionnels effectuant des MV pour ce qui des aspects de la sécurité étaient comparables ou meilleurs que celles des professionnels de la santé enregistrés dans la base de données de 2016 de l’AHRQ.

Discussion : On a élaboré le premier instrument servant à évaluer les attitudes à l’égard de la sécurité et les opinions des praticiens effectuant des MV dans une collectivité. Cet instrument permet de comprendre les opinions et les attitudes à l’égard de la sécurité du patient des professionnels effectuant des MV et de cerner les aspects qui pourraient être améliorés.

Mots-clés de l'auteur:  chiropratique, sécurité du patient, sondage, manipulation vertébrale

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