The Professional Enrichment: Supporting the New Graduate Beyond Orientation: "Good Catch" Program: Acknowledging the Role of Nurses in Patient Safety

2.50
Hdl Handle:
http://hdl.handle.net/10755/182956
Category:
Abstract
Type:
Presentation
Title:
The Professional Enrichment: Supporting the New Graduate Beyond Orientation: "Good Catch" Program: Acknowledging the Role of Nurses in Patient Safety
Author(s):
Mick, JoAnn; Massey, Robert
Author Details:
JoAnn Mick, RN, MSN, MBA, AOCN, CNAA, BC, UT MD Anderson Cancer Center, Houston, Texas, USA, email: jmick@mdanderson.org; Robert Massey, RN, MSN, CNAA
Abstract:
Poster Presentation: Nurses are central to the process of providing patient safety. Hospitals must create an environment that encourages nurses to report and investigate potential errors to provide valuable insights into a system's vulnerabilities and uncover trends across settings. Reports provide triggers to initiate quality improvement efforts that promote and maintain concern for safety. Early understanding of human factors, system failures, and root cause analysis can prevent error. Although safety is identified as an organizational priority in a large cancer, nurses were not reporting potential errors in the available anonymous electronic error-reporting system. Increasing reporting was necessary to make the available databases useful. The Good Catch Program was piloted to increase reporting from 5 in-patient nursing units. Terminology was changed from "close call" to "good catch" as a focused effort to acknowledge nursing practice that prevents error. In nine weeks, over 800 potential errors have been reported. The program has increased open reporting, active questioning, and sharing of insights and concerns. Reviewing potential error reports has provided opportunities to ensure processes make it difficult for mistakes to occur and easy to do things correctly. Reports are also monitored for decreased reporting frequency after initiating corrective actions. The Good Catch Program has supported a positive safety culture where nurses share a sense of accountability and focus attention on "prevention" by identifying what can be done to minimize mistakes. Using a positive approach to change culture to one cognizant of safety can result in a profound, substantial increase in an organization's potential error reporting. References: Bagian JP, Lee C, Gosbee J, DeRosier J, Stalhandske E, Eldridge N, Williams R, Burkhardt M. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Jt Comm J Qual Improv. 2001 Oct;27(10):522-32. Cohen MM, Kimmel NL, Benage MK, Hoang C, Burroughs TE, Roth CA. Implementing a hospitalwide patient safety program for cultural change. Jt Comm J Qual Saf. 2004 Aug;30(8):424-31 Institute of Medicine: Crossing the Quality Chasm: The IOM Health Care Quality Initiative. Accessed Feb 25, 2006: www.iom.edu/focuson.asp?id=8089.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Professional Enrichment: Supporting the New Graduate Beyond Orientation: "Good Catch" Program: Acknowledging the Role of Nurses in Patient Safetyen_GB
dc.contributor.authorMick, JoAnnen_US
dc.contributor.authorMassey, Roberten_US
dc.author.detailsJoAnn Mick, RN, MSN, MBA, AOCN, CNAA, BC, UT MD Anderson Cancer Center, Houston, Texas, USA, email: jmick@mdanderson.org; Robert Massey, RN, MSN, CNAAen_US
dc.identifier.urihttp://hdl.handle.net/10755/182956-
dc.description.abstractPoster Presentation: Nurses are central to the process of providing patient safety. Hospitals must create an environment that encourages nurses to report and investigate potential errors to provide valuable insights into a system's vulnerabilities and uncover trends across settings. Reports provide triggers to initiate quality improvement efforts that promote and maintain concern for safety. Early understanding of human factors, system failures, and root cause analysis can prevent error. Although safety is identified as an organizational priority in a large cancer, nurses were not reporting potential errors in the available anonymous electronic error-reporting system. Increasing reporting was necessary to make the available databases useful. The Good Catch Program was piloted to increase reporting from 5 in-patient nursing units. Terminology was changed from "close call" to "good catch" as a focused effort to acknowledge nursing practice that prevents error. In nine weeks, over 800 potential errors have been reported. The program has increased open reporting, active questioning, and sharing of insights and concerns. Reviewing potential error reports has provided opportunities to ensure processes make it difficult for mistakes to occur and easy to do things correctly. Reports are also monitored for decreased reporting frequency after initiating corrective actions. The Good Catch Program has supported a positive safety culture where nurses share a sense of accountability and focus attention on "prevention" by identifying what can be done to minimize mistakes. Using a positive approach to change culture to one cognizant of safety can result in a profound, substantial increase in an organization's potential error reporting. References: Bagian JP, Lee C, Gosbee J, DeRosier J, Stalhandske E, Eldridge N, Williams R, Burkhardt M. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Jt Comm J Qual Improv. 2001 Oct;27(10):522-32. Cohen MM, Kimmel NL, Benage MK, Hoang C, Burroughs TE, Roth CA. Implementing a hospitalwide patient safety program for cultural change. Jt Comm J Qual Saf. 2004 Aug;30(8):424-31 Institute of Medicine: Crossing the Quality Chasm: The IOM Health Care Quality Initiative. Accessed Feb 25, 2006: www.iom.edu/focuson.asp?id=8089.en_GB
dc.date.available2011-10-28T15:47:49Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:47:49Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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