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

<p>Abstract</p> <p>Background</p> <p>In 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 prof...

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Main Authors: Wangler Martin, Fujikawa Ricardo, Hestbæk Lise, Michielsen Tom, Raven Timothy J, Thiel Haymo W, Zaugg Beatrice
Format: Article
Language:English
Published: BMC 2011-04-01
Series:Chiropractic & Manual Therapies
Online Access:http://chiromt.com/content/19/1/9
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author Wangler Martin
Fujikawa Ricardo
Hestbæk Lise
Michielsen Tom
Raven Timothy J
Thiel Haymo W
Zaugg Beatrice
author_facet Wangler Martin
Fujikawa Ricardo
Hestbæk Lise
Michielsen Tom
Raven Timothy J
Thiel Haymo W
Zaugg Beatrice
author_sort Wangler Martin
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>In 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.</p> <p>Objective</p> <p>To 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.</p> <p>Discussion</p> <p>Providing 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.</p> <p>Conclusions</p> <p>Before 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.</p>
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spelling doaj.art-08c66e5b81494ff3a862e691c2fa68f62022-12-21T18:37:23ZengBMCChiropractic & Manual Therapies2045-709X2011-04-01191910.1186/2045-709X-19-9Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structureWangler MartinFujikawa RicardoHestbæk LiseMichielsen TomRaven Timothy JThiel Haymo WZaugg Beatrice<p>Abstract</p> <p>Background</p> <p>In 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.</p> <p>Objective</p> <p>To 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.</p> <p>Discussion</p> <p>Providing 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.</p> <p>Conclusions</p> <p>Before 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.</p>http://chiromt.com/content/19/1/9
spellingShingle Wangler Martin
Fujikawa Ricardo
Hestbæk Lise
Michielsen Tom
Raven Timothy J
Thiel Haymo W
Zaugg Beatrice
Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure
Chiropractic & Manual Therapies
title Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure
title_full Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure
title_fullStr Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure
title_full_unstemmed Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure
title_short Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure
title_sort creating european guidelines for chiropractic incident reporting and learning systems cirls relevance and structure
url http://chiromt.com/content/19/1/9
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