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The aim of this study was to examine rework and workarounds in hospital medication administration processes. Methodology/Approach: Observations and semistructured interviews were conducted with 58 nurses from four hospital intensive care units focusing on the medication administration process.
May 11, 2013 · One imperative to understand workarounds lies in their influence on patient safety. This paper assesses the peer reviewed empirical evidence available on the use, proliferation, conceptualisation, rationalisation and perceived impact of nurses’ use of workarounds in acute care settings.
Rework and Workarounds in Medication Administration Processes: Implications for Patient Safety. Halbesleben, Jonathon R. B. MS, PhD; Savage, Grant T. PhD; Wakefield, Douglas S. PhD; Wakefield, Bonnie J. RN, PhD, FAAN. Author Information. Journal of Healthcare Management 55 (5):p 366-367, September 2010. Buy.
Health care professionals encountering these designed barriers can choose to either follow the new process, engage in workarounds to get past the block, or potentially repeat work (rework). Unfortunately, these workarounds and rework may lead to other safety concerns.
Apr 21, 2010 · This study used process mapping to identify barriers to efficient medication administration and investigate the workarounds that nurses used in these situations.
Apr 1, 2010 · This paper assesses the peer reviewed empirical evidence available on the use, proliferation, conceptualisation, rationalisation and perceived impact of nurses’ use of workarounds in acute care settings and examines the importance of displaying competency (image management), collegiality and organisational and cultural norms play a role in nurse...
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The objective of this study was to examine rework and workarounds in hospital medication administration processes. We used semistructured interviews and observations of nurses in four facilities and, using coding based on grounded theory, developed a process map of the medication administration process with blocks.
