Both professional leaders and frontline practitioners perceived multiple barriers to the implementation of an incident reporting system for SMT. Participants felt that safety talk is sometimes conflated with competition for business in the context of fee-for-service healthcare delivery by several professions with overlapping scopes of practice. Competing intra- and inter-professional narratives further cloud the safety picture. RESULTS: The safety culture around SMT is characterized by substantial disagreement about its actual rather than putative risks. A thematic, descriptive analysis was produced.
HYPERRESEARCH LOGO SOFTWARE
Transcripts were entered into HyperResearch software for qualitative data analysis and were coded for both anticipated and emergent themes using the constant comparative method. Interviews were digitally audio-recorded for verbatim transcription. METHODS: Fifty-six semi-structured telephone interviews were conducted with professional leaders and frontline practitioners in chiropractic, physiotherapy, naturopathy and medicine, all professions regulated to perform SMT in the provinces of Alberta and Ontario Canada. BACKGROUND: The purpose of this study was to gain insight into the current safety culture around the use of spinal manipulation therapy (SMT) by regulated health professionals in Canada and to explore perceptions of readiness for implementing formal mechanisms for tracking associated adverse events.
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