A “great catch” is when someone proactively prevents harm from reaching the patient. Great catches are celebrated each day at the respective campus Daily Safety Briefing. Each month Kettering Health selects a Great Catch of the Month, with a yearly winner selected and celebrated at the annual Quality Banquet.
Please share your great catches with your leader so your commitment to patient safety can be celebrated.
January 2022 Great Catches
- Ann McNeil and Jen Brown from Radiology at Kettering Health Main Campus had a great catch. A patient’s pacing form said to “turn off the pacer.” Upon further review they realized this was not accurate and did not turn the patient’s pacer off. Thank you, Ann and Jen for having a questioning mindset and for your attention to detail.
- Emily Keaton from Kettering Health Greene Memorial completed an X-ray on a patient and noted there would be a three-hour wait for the X-ray to be read. Emily noticed a pneumothorax on the imaging and alerted the radiologist, so the film could be read sooner. Thank you, Emily, for speaking up for safety and operating as a team.
- Annie Gillaugh from Soin Medical Center’s ICU found a patient’s heparin to be running at a lower rate than what was ordered and changed the drip to the appropriate dose. Thank you, Annie for your attention to detail.
- Brenda Smith, a CT tech at Soin, performed two-patient ID and identified that the patient had on the wrong armband, and quickly replaced the armband. Thank you, Brenda, for performing two-patient ID.
Medication Safety
This month, let’s focus on Midas medication events reported due to incorrect routes of administration. Medications may be administered via several different routes depending on the medication. Several Midas events have been reported of an intramuscular or subcutaneous medication being administered via IV route. If a medication requires an intramuscular or subcutaneous route, Epic requires the site of administration to be documented. Medications that are administered via oral or IV route do not require a site of administration to be documented.
Intramuscular Route
