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.

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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
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Redesigning From Work-as-imagined to Work-as-done: A Systems Safety Approach to Bedside Medication Storage

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Redesigning From Work-as-imagined to Work-as-done: A Systems Safety Approach to Bedside Medication Storage

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article en

Abstract

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.

Journal of Patient Safety
Oklahoma State University (US), Children's Mercy Hospital (US), Centre for Nursing Innovation (GB), Mercy Research (US)
Openalex Percentile: Top 82%
Patient Safety and Medication Errors
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