Redesigning From Work-as-imagined to Work-as-done: A Systems Safety Approach to Bedside Medication Storage
This study underscores the importance of identifying and addressing gaps between organizational policies or standard operating procedures and actual practices while engaging frontline staff. The implementation of new medication lockboxes significantly improved the medication storage process, demonstrating the effectiveness of quality improvements methods in enhancing both safety and efficiency. These findings highlight the value of a collaborative, systems-based approach in driving meaningful improvements in health care settings, ultimately contributing to better patient outcomes and operational efficiency.
Authors
- Matthew Nare (ORCID: https://orcid.org/0009-0009-7098-4715)
- Sarah Fouquet (ORCID: https://orcid.org/0000-0002-9144-5165)
- Damon Pabst
- Sarah Dierking
- Kerri Kuntz
- Jennifer McDonnell
- April Assee
Institutions
- Oklahoma State University (US)
- Children's Mercy Hospital (US)
- Centre for Nursing Innovation (GB)
- Mercy Research (US)
Publication Details
- Journal
- Journal of Patient Safety
- Published
- 2026-01-23
- DOI
- https://doi.org/10.1097/pts.0000000000001472
- Primary Topic
- Patient Safety and Medication Errors
- Type
- article
- Field-Weighted Citation Impact
- 0.00