Workarounds in Healthcare Facilities
Workarounds refer to the alternative methods "of accomplishing an activity when the usual system / process is not working well" (Pennsylvania Patient Safety Advisory, 2013). In as much as workarounds may temporarily solve existing problems, they also indicate inefficiencies and deficiencies in the current system. Workarounds may at times be effective and more convenient, compared to the system in existence, but a regular use of the same could endanger both the safety of patients and the facility's reputation. A workaround can, therefore, be termed as an at-risk behavior that does not yield concrete long-term solutions to existing problems. Therefore, "workarounds perceived as necessary by the user for patient care, efficiency or safety, may be beneficial, neutral, or dangerous for patients' safety" (Koppel, Wetterneck, Telles & Karsh, 2008, p. 1).
A description of Workarounds in a Selected Facility
Workarounds can take a variety of forms. For instance, I know of a situation where practitioners bring to work their personal mobile devices and facilitate workarounds using the same. These devices include personal smart phones, tablets, laptops, etc. A range of workarounds is involved in this case. One of the more common ones, for instance, involves storing or transferring patient data, to other workers, using the up-to-date applications available on such devices. In some cases, this data exchange takes the form of text, e-mail messages, or social media platforms.
One possible scenario is; a nurse sends a doctor a picture of, say, a patient's wound, via her personal device. The doctor views the sent picture, on his device as well, and then gives instructions to the nurse. The logic is obvious; there is faster communication, and the nurse could efficiently serve multiple clients....
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