Although workarounds may be essential to effective care delivery in some instances, they also pose significant risks to patient safety. This systematic review of nursing workarounds builds upon a similar study. The article includes illustrative examples of both individual and collective workarounds, as well as the potential effects in acute care settings for patients, staff, and organizations. The authors conclude that the research on nursing workarounds has been heterogeneous and "relatively underdeveloped." A previous AHRQ WebM&M perspective discussed workarounds on the front lines of health care.