Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.

Pohlman KA, Carroll L, Hartling L, Tsuyuki RT, Vohra S. J Evid Based Complementary Altern Med. 2015 Oct 4; [Epub ahead of print].

This survey of pediatric chiropractors found that time pressure and concerns about patients' responses were the most common barriers to participating in voluntary reporting and learning systems. It is likely that this practitioner type must improve its safety culture in order for incident reporting to be a fruitful safety strategy.