Congratulations to March's Good Catch Award Recipient
The Good Catch Award is designed to recognize staff members 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 and had the potential to cause harm but was caught before it reached the patient.
Cath Lab Team
The March Good Catch Award goes to the cath lab team at Methodist Hospital
On Monday Jan. 28, the Cath Lab team was setting the table for Dr. Latacha's second watchman case of the day. It was discovered that the patient had a family history of malignant hyperthermia.
The team was ready to bring the patient into the procedure room when Dr. Hultquist arrived and called the anesthesia tech to flush the system and change some filters before the team could safely start the case.
Dr. Hultquist stated that the family made sure he knew about the malignant hyperthermia. However, the preop nurse contacted the circulating nurse about the malignant hyperthermia. The Cath Lab team was unaware of the cause for the delay in the case (flushing the anesthesia machine), which usually takes about 15 minutes.
Malignant hyperthermia should be a red flag alert on the chart. However, staff had a hard time finding anything in the patient record. Barb Haskin (admit nurse) had asked the question and documented the family history under the anesthesia history. Just wondering if we could trigger an alert somehow, for the future. The patient is 89 and has memory problems, so if not for the family the team may not have known.
Because of this identification and reporting of the variance, IT was able to work to fix the concern and the information needed to provide safe care to our patients is pulling forward for others to be able to view.
Great job, Cath Lab Team, and thank you for your dedication to Methodist and our patients!