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 reach the patient because of chance or timely intervention. Reporting these events can help to identify gaps in order to prevent future adverse events from happening.

Kayla and Micaela were interviewing a patient in Surgical Day Care, confirming her name and birthday for consent. Micaela noticed the birthday was incorrect on the patient identification wristband.  Kayla and Micaela compared the labels in the chart together.  They double-checked with the patient, asking for her full name and birth date, and checked the medical record number in the chart against Meditech.  Her birthday was listed as 04/11/2000 (November) but her actual birthday was 11/04/2000 (April).  The date and month had been transposed. Good catch and great teamwork!

While working on 1A, Sumi went to the Omnicell to remove a patient’s Risperidone prescription. However, the nurse found Ivabradine in the drawer.  Sumi notified the charge nurse of the error, then removed and administered the correct medication (Risperidone) to the patient. Great job!

Trinity was working on 3A, when a patient became upset and began swinging a cane, hitting walls, phones and other items.  Another patient, hearing the commotion, stepped out of her room. Trinity and her colleagues surrounded the patient to protect her from being hit, then moved her to the nursing station to remove her from the situation and keep her safe. Quick thinking!

Thank you to all for your diligence and dedication to safety. Each recipient has been awarded a certificate and gift cards to local businesses to enjoy.

New winners will be selected every quarter. Continue submitting your near misses for a chance to win! 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’.

For more information, contact Terry Fodë, Patient Safety Specialist (terry.fode@tbh.net).