Congratulations to These Good Catch Award Recipients
The "GOOD CATCH” Award is designed to recognize a staff member committed to patient safety.
This recognition is presented monthly and goes to the department in which the good catch occurred. Nominations for the award are taken from reported variances where a near miss is caught. Those variances are flagged for consideration of this award. A near miss is an incident or event that has occurred that had the potential to cause harm but was caught before it reached the patient.
Mitchell Mann, PA (ASCP)
Michael’s good catch relates to two specimens that were received in lab to include a mesh in one container and a suprapubic abscess in another. The specimens were entered into the laboratory system and the generated labels were affixed to the incorrect sample. The error was caught at the grossing bench and corrected. Michael intercepted the error before it occurred, improving the safety and care of our patient.
Congratulations to Michael! Thank you for your commitment to keeping our patients safe.
A CT scan was ordered on a patient of the abdomen and pelvis, and the staff waited for about an hour for the creatinine and GFR to come back. The nurse called and said the patient was ready after he labs came back. Betsy, a CT tech, requested that the nurse ask the physician about the labs to make sure she was OK with contrasting the patient with an elevated creatinine. The nurse called back and said to cancel the test. Not only did the tech stop the line here by preventing a patient from receiving contrast with an elevated creatinine, but it was also learned that the test had been entered on the wrong patient.
Congratulations to Betsy! Thank you for your commitment to keeping our patients safe.
Julie Grace, RN
A nurse in the Methodist Women's Hospital NICU, Julie idenitified that IV insulin 0.1 units/0.1 mL was ordered for a patient. The dose was prepared in pharmacy by the technician and drawn up as 1.0 mL, ten times the ordered dose. The medication was checked by the pharmacist and delivered to bedside. Julie caught this dosing error prior to administration. The old dose was discarded and new, correct dose was prepared and administered.
Congratulations to Julie! Thank you for your commitment to keeping patients safe.
Jessie Thomas, RN
A nurse on the Methodist Women's Hospital 4th floor GYN, Jessie was recognized for identifying a medication containing acetaminophen that did not populate an acetaminophen alert when scanning to administer. It was identified that if the medication were given, the patient would have been over her maximum acetaminophen dosage for 24 hours. With the identification of missing an alert, pharmacy and IT were able to work together to identify a few medications containing acetaminophen that were not populating alerts and were able to fix these medications so that they alert in the future.
Congratulations to Jessie! Thank you for your commitment to keeping patients safe.
Meagan Deeds, RN
A nurse on 7 South at Methodist Hospital, Meagan was recognized for identifying a medication discrepancy and correcting that discrepancy before it could reach the patient. Because of her questioning attitude, the patient received the correct type and dose of insulin.
Congratulations to Meagan! Thank you for your commitment to keeping patients safe.