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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.

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Leigh Russ, RN, Emergency Department, Saint Raphael Campus, was recognized for consistently practicing a questioning attitude and paying attention to detail. A patient was scheduled for discharge from the ED after his chief complaint had been addressed. Russ noticed the patient seemed anxious and his heart rate was elevated. She advocated for an EKG, which confirmed a new onset of atrial fibrillation requiring a Cardiology consult. Later in her shift, Russ was caring for a young patient. Based on her observation of the parent’s behavior, Russ escalated her concerns. When it was discovered the parent did not have custody, the custodial parent was promptly contacted and the child safely transferred to the Pediatric ED for additional care.

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Wenyi Luo, MD, a pathologist with Yale Pathology and assistant professor of pathology at Yale School of Medicine, was recognized for practicing a questioning attitude and attention to detail. A patient diagnosed with a swallowing disorder had an esophageal biopsy. After examining the patient’s pathology slides, Dr. Luo suspected that cancerous tissue on the slide was actually a tissue floater from another patient. He escalated his concerns and DNA testing confirmed the abnormal tissue was a contamination. Thanks to Dr. Luo’s use of CHAMP behaviors, the patient received the correct diagnosis.