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Julianna Lavras, RN; Tatyana Vynar, RN; Kofi Lawson; Brittney Hickson, RN

Great Catch winners help YNHH become a high reliability organization

Congratulations to these Great Catch winners for modeling HRO safety behaviors and taking action to improve patient safety.

Julianna Lavras, RN, Pulmonary Medicine, was recognized for escalating concerns and 200% accountability. A patient with a complicated, underlying respiratory infection presented with a strong clinical case of sepsis. While caring for this patient, Lavras was puzzled by an unusual symptom. After conducting extensive research, she thought the patient might have a sensitivity to one of her medications. Lavras expressed her concerns to the care team, who confirmed the diagnosis and took appropriate measures. 
Tatyana Vynar, RN, Emergency Department, was recognized for a questioning attitude and quick actions that helped save the life of a patient arriving at the York Street Campus ED. The patient, who had a history of bee sting allergies, had been stung multiple times and did not have an EpiPen. The patient went into respiratory arrest in the hospital parking lot. Vynar, who was in the triage area, ran to the patient’s car. Finding no pulse, she began CPR and quickly revived the patient, who was stabilized and admitted to the hospital. 
Kofi Lawson, surgical technician, East Pavilion Operating Room, was recognized for attention to detail and speaking up for safety when he stopped the line during a case. As the team was preparing to complete the surgery, Lawson practiced 200% accountability and provided a cross check to ensure that a necessary specimen was removed from the patient. The surgical team accepted this cross check and the specimen was successfully removed and processed as intended. 

Brittney Hickson, RN
, Cardiac OR, was recognized for attention to detail and practicing a questioning attitude during the initial blood-type verification on a heart transplant patient. She stopped the line when she noticed that the organ donor ID number and blood type that had been entered into Epic did not match what was expected. The transplant team escalated her concerns to the company coordinating the organ donation, who verified that the information was incorrect. Hickson’s use of HRO behaviors resulted in the company making changes to its process of entering organ donor ID numbers and blood types into Epic.