(MIST2)-Part2: AEs Following DC Care at DC Teaching Clinic: Electronic

Study Overview
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Brief Summary
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This study aims to compare different ways to establish severity from patients reporting a new or worsening symptom (adverse event) following a chiropractic treatment at a teaching clinic using an electronic platform.

Detailed Description
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Healthcare systems acknowledge the importance of patient safety including the reduction of preventable adverse events (AE). For healthcare providers who perform spinal manipulation therapy (SMT), the investigation of AEs remains in its infancy for several reasons including finding a reporting system that accurately collects AEs information, varied descriptions of AE's severity and occurrence frequency and the variable natural history of musculoskeletal conditions treated by SMT. Together, these factors act together to conspire against the implementation of systematic changes in SMT application that would result in improved patient care and safety. In addition, it is vital that patient safety training initiates at the start of a healthcare worker's career. This pilot active surveillance study was designed to assess the feasibility of collecting data with an electronic platform for patients' self-report of symptom changes as well as interns' report at a chiropractic teaching clinic.

Official Title
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Assessment & Feasibility of an Electronic Post-Symptoms Evaluation

Conditions
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Patient Safety, Manipulation, Spinal

Intervention / Treatment
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* Other: active surveillance: electronic platform


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients at the Parker University Wellness Clinic Agreed to participate Exclusion Criteria: none
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: active surveillance: electronic platform|Provides a structure to systematically gather adverse event information from healthcare providers and sometimes directly from patients.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient - report of an adverse event | as any unfavorable sign, symptom or disease temporarily associated with the treatment, whether or not caused by the treatment, specifically any worsened or new symptom reported by the patient up to one week after care | Up to 7 days post treatment - Day 0-7 | 
| intern - report of an adverse event | as any unfavorable sign, symptom or disease temporarily associated with the treatment, whether or not caused by the treatment, specifically any worsened or new symptom reported by the intern immediately following care | Immediate after treatment - Day 0 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chiropractic, SMT, Active surveillance reporting system