Reducing Work-Arounds to Improve Care

Jennifer J. Blaha, MBA, Cedars-Sinai Medical Center

Shannon Webert, RN, Cedars-Sinai Medical Center

Heidi Hotz, BN, RN, Cedars-Sinai Medical Center


Work-arounds arise when the rules or systems do not match with environmental demands, and when workers see faster or easier ways of performing a task. At times, however, work-arounds can reduce waste and are necessary to ensure smooth and efficient operations, allowing a system to function at peak performance. In contrast, some workarounds can be risky and result in catastrophe, which can be damaging and expensive. This education session is focused on helping to identify and learn from work-arounds in a non-punitive way by showing how to streamline your processes and create a safer care environment.


  • Describe the impact that work-arounds can have in the OR. 
  • Explain how to identify and quantify work-arounds in the OR. 

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