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.

Inpatient

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Lisa Graziano, RN, ED patient service manager, Quigley and Wojcik

Lauren Wojcik, technical associate, was recognized for attention to detail and practicing a questioning attitude, and Sandra Quigley, RN, was honored for expediting patient care. The York Street Campus Emergency Department staff members were caring for a critically ill patient with multiple chemical burns. While the patient was awaiting transfer to the intensive care unit, Wojcik noted the patient’s hand looked different. She escalated her concerns to the nurse, resident and attending physicians and kept voicing her concerns after the patient had left the ED. Quigley facilitated the patient’s immediate transfer to the operating room for surgery.

Outpatient

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Horrocks (right), with Cynthia Johnson, RN, SP 5-2 patient service manager

Rachel Horrocks, RN, Heart and Vascular Center Cardiac Medicine (SP 5-2), was recognized for attention to detail and 200% accountability while caring for a patient who complained of shoulder pain following a leg procedure. Horrocks escalated her concerns to the medical team, who reviewed the medical record and saw the patient had been treated previously for a pinched nerve in the shoulder. While preparing the patient for discharge, Horrocks noticed his pain was worsening and he was exhibiting troubling symptoms. She escalated her concerns a second time and the medical team ordered an MRI, which showed an abscess and narrowing in the spinal canal at the neck. The patient underwent urgent neurosurgery later that evening.

Atin Saha, MD, diagnostic radiology resident, was recognized for attention to detail and preventing an unnecessary procedure. While performing a biopsy on a lung mass, Dr. Saha used STAR (Stop, Think, Act, Review). He discovered the patient had recently had a lung procedure that showed cancer cells. Dr. Saha shared his concerns with the attending physician, who contacted the referring provider, who then canceled the procedure.