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“Reasons identified for under-reporting included fear of retribution, being too busy and insufficient clarity on what to report…until there is greater clarity of the purpose and role of the CRLS, the system will probably remain under-utilised.” Clinical Chiropractic, Volume 11, Issue 2, Pages 63-69 (June 2008)
Click here for a critique of the Chiropractic Patient Incident Report and Learning System (CPIRLS).
UPDATE April 2011: Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure “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.”
UPDATE March 2013: The Scottish Chiropractic Association announces a decrease in its malpractice insurance premium due to a "robust risk management and reporting system" which it claims to operate and manage. The system doesn't appear to be public, and there's no indication if any of the reports it receives are added to the data in the medical literature regarding complications following chiropractic treatment.