Towards a safety culture in chiropractic: The use of the safety, communication, Operational Reliability, and engagement (SCORE) questionnaire

To assess the attitudes, practices and other contributing factors to patient safety among chiropractors. Methods: In addition to obtaining socio-demographic and practitioner/practice characteristics, we utilized the Safety, Communication, Operational Reliability, and Engagement (SCORE) questionnaire...

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Bibliographic Details
Published in:Complementary therapies in clinical practice 2021-02, Vol.42, p.101266-101266, Article 101266
Main Authors: Alcantara, Joel, Whetten, Andrew, Alcantara, Joey
Format: Article
Language:English
Subjects:
Burnout
Child
Chiropractic
Chiropractic medicine
Communication
Cross-Sectional Studies
Decision making
Demography
Female
Humans
Leadership
Male
Nursing
Organizational climate
Patient safety
Questionnaires
Reliability
Reproducibility of Results
Safety
Safety culture
Safety Management
SCORE survey
Sociodemographics
Surveys and Questionnaires
Teamwork
Variables
Work-Leisure conflict
Workplaces
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Summary:To assess the attitudes, practices and other contributing factors to patient safety among chiropractors. Methods: In addition to obtaining socio-demographic and practitioner/practice characteristics, we utilized the Safety, Communication, Operational Reliability, and Engagement (SCORE) questionnaire. To identify variables contributing to improved safety climate and lower burnout, we performed a random forest analysis. A convenience sample of 154 chiropractor responders (Female = 115; Male = 39) comprised our study population. The majority were between 26 and 35 years of age with an average practice experience of 11.1 years. The variables of importance predictive for a safety climate were participating in decision making, teamwork, local leadership and improvement readiness. For burnout, workload, growth opportunities, teamwork climate, safety climate and work-life balance were highly influential. Conclusion: We successfully utilized the SCORE instrument to measure safety climate in chiropractic. We identified those variables important to contributing to patient safety and mitigating burnout in the workplace. •Chiropractors generally reported higher safety climate and lower burnout ratings.•Decision making, teamwork, and local leadership influenced safety climate.•Workload, growth opportunities, and teamwork influenced overall burnout.•Leadership walkRounds was identified as deficient in activity among chiropractors.
ISSN:1744-3881
1873-6947
DOI:10.1016/j.ctcp.2020.101266