Salsbury Stacie A, Funabashi Martha, Kangas Kurt A, Woosley Vanessa, Crouch Alex N, Brown Amanda, Lee Alexander D, Borody Cameron P A, Porter Bryan J, St-Onge Eric, Moore Michael P, Pohlman Katherine A
J Chiropr Educ. 2025 Apr 30;39. doi: 10.7899/JCE-24-15.
To describe clinic stakeholder suggestions for improvements in patient safety in chiropractic teaching clinical settings.
We conducted a mixed-methods, cross-sectional survey to extend SafetyNET, a research project into patient safety culture in chiropractic. Our sample (n = 864) included clinic students, faculty, and staff from chiropractic programs from 4 different countries. We launched the Survey to Support Quality Improvement via REDCap, with respondents completing site-specific surveys in 6-week increments between May 2019 and November 2021. Open-ended questions elicited written suggestions to improve patient safety in 4 domains: education, clinical setting, communication, and leadership. Cross-institutional research teams conducted qualitative content analysis to identify relevant themes.
Respondents (n = 460; 53.2%, of which 47.2% were female) included 386 students, 45 faculty, and 29 staff. We analyzed 166 to 225 unique responses consisting of short phrases to full paragraphs per question. Our analysis inspired an interactive Safety Compass Model of Patient Safety Culture in Chiropractic Teaching Clinics, which includes 8 themes. Accountability and Transparency were essential values for individuals and organizations. Safety Education on safety-related topics was counterbalanced by Safety Reporting structures and procedures. Educators teach Clinical Standards of patient safety, while communication patterns circulate Risk Mitigation processes. Clinic settings establish Patient-Centered environments, while leadership sustains the overall framework through Administrative Oversight.
Students, faculty, and staff stakeholders identified myriad opportunities to improve patient safety culture in chiropractic teaching clinics. Chiropractic teaching programs are encouraged to use the Safety Compass Model to identify and address areas for improvement in their own institutions.
描述临床利益相关者对改善整脊教学临床环境中患者安全的建议。
我们开展了一项混合方法的横断面调查，以扩展SafetyNET，这是一项关于整脊患者安全文化的研究项目。我们的样本（n = 864）包括来自4个不同国家的整脊项目的临床学生、教师和工作人员。我们通过REDCap发起了支持质量改进的调查，受访者在2019年5月至2021年11月期间以6周为间隔完成特定场所的调查。开放式问题征集了在教育、临床环境、沟通和领导4个领域改善患者安全的书面建议。跨机构研究团队进行了定性内容分析以确定相关主题。
受访者（n = 460；53.2%，其中47.2%为女性）包括386名学生、45名教师和29名工作人员。我们分析了每个问题由短句到完整段落组成的166至225条独特回答。我们的分析催生了整脊教学诊所患者安全文化的交互式安全罗盘模型，该模型包括8个主题。问责制和透明度是个人和组织的基本价值观。与安全相关主题的安全教育与安全报告结构和程序相互平衡。教育工作者传授患者安全的临床标准，而沟通模式传播风险缓解流程。临床环境建立以患者为中心的环境，而领导通过行政监督维持整体框架。
学生、教师和工作人员利益相关者确定了改善整脊教学诊所患者安全文化的众多机会。鼓励整脊教学项目使用安全罗盘模型来识别和解决其所在机构需要改进的领域。
