From a definitional point of view, it does not matter if frontline users are justified in working around a given policy or equipment design feature. What does matter is that the motivation for a workaround lies in getting work done, not laziness or whim. Thus, the appropriate response by managers to the existence of a workaround should not consist of reflexively reminding staff about the policy and restating the importance of following it. Rather, workarounds should trigger assessment of workflow and the various competing demands for the time of frontline personnel. In busy clinical areas where efficiency is paramount, managers can expect workarounds to arise whenever policies create added tasks for frontline personnel, especially when the extra work is out of proportion to the perceived importance of the safety goal.
From a definitional point of view, it does not matter if frontline users are justified in working around a given policy or equipment design feature. What does matter is that the motivation for a workaround lies in getting work done, not laziness or whim. Thus, the appropriate response by managers to the existence of a workaround should not consist of reflexively reminding staff about the policy and restating the importance of following it. Rather, workarounds should trigger assessment of workflow and the various competing demands for the time of frontline personnel. In busy clinical areas where efficiency is paramount, managers can expect workarounds to arise whenever policies create added tasks for frontline personnel, especially when the extra work is out of proportion to the perceived importance of the safety goal.