American Data Network Patient Safety Organization (ADNPSO) named the first two recipients of the Good Catch Award, being presented quarterly this year to outstanding Arkansas clinicians participating in ADNPSO’s statewide near miss campaign.
The Good Catch campaign, which aims to help hospitals foster a growing culture of safety by encouraging the recognition and reporting of potential risk, is based on the belief that a near miss or close call reported today can prevent an error from happening tomorrow. The campaign offers participating organizations opportunities to significantly increase near miss reporting, reveal process and system vulnerabilities, and develop and implement proactive data-driven improvement activities.
Chloe Baldwin, BSN, RN at Arkansas Children’s Hospital received the Individual Good Catch Award for the campaign’s first quarter. Baldwin demonstrated courage and persistence when she raised questions and concerns after a patient’s physical assessment. Her tenacity led to further diagnostic testing and ultimately to changes in the patient’s care plan. Baldwin’s Good Catch has been shared hospital wide and incorporated into employee safety trainings as an exemplary illustration of situational awareness and advancement of error prevention techniques.
Don Howard, MD, an intensivist with St. Bernards Medical Center in Jonesboro, received the Physician Good Catch Award for the first quarter. Dr. Howard’s Good Catch came during a thorough review of medication orders prior to a patient’s transition to a lower level of care. He expressed concern when he found no documentation for discontinuing a high-risk medication restricted to use in the intensive care unit. Dr. Howard’s Good Catch prompted a hospital-wide gap analysis of verbal order practices especially those in high-risk areas such as the emergency department and ICU. In addition, SBMC added an electronic trigger within its medical record system to force a review of high-risk medications during transitions of care to help mitigate human error.
Because empowering hospital staff to speak up stands as one of the most impactful ways of fortifying a trustworthy organizational culture of safety, ADNPSO will recognize individual clinicians and departments demonstrating outstanding efforts to drive change and enhance patient safety on a quarterly basis throughout its year-long Good Catch campaign.
The Good Catch campaign is endorsed by the Arkansas Hospital Association, Arkansas Health Executives Forum, Arkansas Organization of Nurse Executives, Arkansas Association for Healthcare Quality and Arkansas Foundation for Medical Care.
To learn more about the Good Catch program, click here.
American Data Network PSO, established in 2009, was the first federally designated Patient Safety Organization established in Arkansas and authorized to work with hospitals to improve patient care through voluntary reporting of patient safety events and professional analysis of shared data.