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These themes illustrate how staff navigated the challenges of planning and delivering care during the pandemic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Originality<\/jats:title>\n                    <jats:p>Despite severe challenges, including high patient acuity, limited evidence-based knowledge, and resource constraints, staff successfully implemented ongoing improvements through a shared commitment to patient safety. Organizational flexibility and the reduction of hierarchical routines alleviated burdens on healthcare professionals, fostering collaboration and a person-centred approach to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research implications<\/jats:title>\n                    <jats:p>Collaboration among staff emerged as a central feature, supported by reduced bureaucracy and the use of continuous improvement methods, such as the plan\u2013do\u2013study\u2013act cycle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practical implications<\/jats:title>\n                    <jats:p>The study highlights the challenges created by the rapid onset of the COVID-19 pandemic, which profoundly affected healthcare working conditions. Staff collaboration, reinforced by less bureaucratic structures, facilitated continuous improvement and strengthened the commitment to delivering safe care under uncertain and demanding circumstances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Social implications<\/jats:title>\n                    <jats:p>Working together, supported by effective organizational and managerial leadership, was essential for adapting practices and safeguarding patient safety when evidence-based guidelines were limited. Standardized group introductions, divided into general routines and unit-specific practices, were identified as critical for reducing workload pressures on both permanent and redeployed staff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-025-13555-2","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T10:57:05Z","timestamp":1761044225000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["From bureaucracy to bedside teamwork: maintaining patient safety in COVID-19 care - staff experiences of COVID-19 care in a Swedish university hospital"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3221-2062","authenticated-orcid":false,"given":"Kristina","family":"Rosengren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"13555_CR1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0291548","author":"L Ashman Kr\u00f6\u00f6nstr\u00f6m","year":"2023","unstructured":"Ashman Kr\u00f6\u00f6nstr\u00f6m L, Lundgren Nilsson \u00c5, Kjellby-Wendt G, Stibrant Sunnerhagen K, Symptoms. 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