Risk Considerations: Ensuring Safe Discharge of Disgruntled Patients

Discharging a disgruntled or dissatisfied patient from a chiropractic practice is a delicate process that requires careful consideration of the patient’s needs and the safety of the chiropractic team and other patients. Although the decision to part ways may be necessary, the chiropractor should handle the situation with sensitivity and professionalism to prevent escalating behaviors and potential harm.

Important Note

Chiropractors generally have the right to terminate relationships with patients for various reasons. However, many legal and ethical considerations should go into these decisions, including state and federal laws, contractual obligations, timing issues, availability of other care providers, and more. Further, exceptions may occur when dealing with violent or aggressive patients.

First and foremost, the chiropractor should prioritize continuity of care for the patient in question. This involves ensuring the patient has access to an alternative source of assistance and necessary resources to effectively manage their health after leaving the practice. Referring the patient to the local hospital provider network, insurance plans, and/or the state healthcare association/board to find a new provider can help facilitate a smooth transition and ensure the patient’s well-being.

Moreover, approaching the discharge process with empathy and understanding is imperative. Acknowledging the patient’s concerns and grievances and actively listening to their feedback can help alleviate tension and foster a sense of respect and dignity throughout the process. Although the chiropractor generally is not obligated to provide a reason for terminating the relationship, doing so in a diplomatic and transparent way may help mitigate any negative feelings the patient has. The explanation should be brief and nonpunitive in tone.  

Equally important, the chiropractor should prioritize their own safety and the safety of other patients and staff members. The discharge process should minimize the risk of escalating behaviors that could potentially endanger individuals or disrupt the functioning of the practice. Devising and implementing security measures and training staff on de-escalation techniques can help maintain order and safety. In some cases, the practice might need to involve law enforcement to address threats of violence or harm. 

In summary, safely discharging disgruntled patients from chiropractic practice involves a concerted effort to provide the care and support they need, while also maintaining a safe and functioning environment for everyone in the chiropractic practice. Chiropractors should learn relevant protocols and guidelines for managing difficult patient discharges and seek appropriate support when needed. 

Chiropractors can also take advantage of on-demand continuing education programs that cover topics related to provider–patient relationships, violence prevention, complaint management, and more.