Congratulations to the winners of the quarterly ‘Good Catch’ Awards
The ‘Good Catch’ Awards highlight individuals, groups or departments who demonstrate their commitment to keeping patients safe by reporting a near miss. A ‘good catch’ (or near miss) is an event or situation that could have resulted in harm but did not, because of chance or timely intervention. Reporting these events can identify gaps and help prevent future adverse events from happening.
Keenan Stoger was working in the Cancer Care – Chemotherapy Department preparing treatment for a patient, when he noticed during routine double-checks and co-signatures that the information on the patient’s medication label was incorrect. It was labelled to be given over 30 minutes when it should be administered over 90 minutes. Keenan immediately returned the incorrectly labelled medication to the Pharmacy, and it was never administered to the patient. After a new label was made, the patient received the medication at the correct rate, and in addition, no medication was wasted. Well done!
While working in Adult Mental Health, Pharmacist Karen Holroyd caught an error on a patient’s chart after receiving an order to stop medication for the patient. She noticed that the particular medication listed was not ordered for the patient. After investigating, she found the wrong stamp on the Pharmacy copy of the order. After looking at the original order, Karen found the correct chart and stamp. Karen rectified the situation, and no incorrect medications were given to either patient. Great job!
Thank you to both for your diligence and dedication to safety! Each recipient has been awarded a certificate and gift cards to a local business.
Near miss reports are submitted through the Incident Learning System (Patient Safety Incidents). Click on the ‘Safety Reporting’ icon from your Novell home page or go to the iNtranet and choose ‘Safety Reporting’ under ‘Informational’.
New winners will be selected every quarter. Continue submitting your near misses for a chance to win!
For more information, contact Terry Fodë, Patient Safety Improvement Specialist (terry.fode@tbh.net).