Good catch safety program construction

Others would argue that near misses are leading because they give us a glimpse into the future and could be predictive of a future safety-related
incident. Recognition and Rewards for our people being safe and performing safety awareness activities. The Good Catch program was also
highlighted in all newsletters circulated in the region, both at the site and at regional levels. This article represents the independent views of the
author and should not be construed as a National Safety Council endorsement. A Practical Guide to Staff Development: Please Sign In or Create
an Account to add comments. Previously, the CH paper-based incident reporting system included the ability to report Good Catches, but there
had not been emphasis on reporting and analyzing Good Catches or near misses. To gain better insight into the safety culture, we need to enlist the
observations of everyone in the organization. Because organizations cannot directly measure their safety cultures, leading indicators can be good
proxies. Here are ways to help prevent medication errors. The manager's Toolkit included posters, forms, information mailers and paycheque
stuffers. A Risk Priority Matrix is used to determine events that require immediate follow-up and a more in-depth analysis. So the region
recognized that an opportunity existed to further strengthen the quality culture of Capital Health while recognizing staff and physicians for their
contributions to quality by implementing a Good Catch program. Employee Engagement in Safety at every opportunity, so that all employees
actively tailor and improve the safety process at their site to provide a positive safety influence that is seen and felt. Doing so helps all staff
members maintain awareness about potential errors for which to be on the lookout. In the quest to enhance its safety systems, in March Capital
Health CH , one of the largest integrated health regions in Canada, implemented a Good Catch program. In addition to changing the terminology,
M. A Safety Policy that sets forth vision and values; Safety Principles that guide our decisions, planning and work performance; Safety Standards
that are spelled out in the NAES Health and Safety Manuals for plant operations, construction projects and corporate offices; Safety Plans and
Procedures that include site-specific safety plans and safety improvement plans for all plants and projects. Feedback from key stakeholders
indicated this strategy was the most valuable and was credited with much of the team's success. Three components make up the program and help
it stand out from the previous program used by the organization:. Please upgrade your browser to improve your experience. After that, 3,4,
reports were recorded per month. Yes, we need more help! This translates to approximately , for the almost 2. These Good Catches and
evaluations will be reviewed during the monthly safety meetings. This group is responsible for evaluating each submission against defined criteria.
This is not only intimidating to the employees, but it also takes too much time to find and fill out one more piece of paperwork. American Institute
of Chemical Engineers. After noticing this, Massey, unit staff, and pharmacy staff established a list of the most common medications needed at
admission. Implementing a near-miss reporting system. Every Good Catch is analyzed at the site and regional levels to try to determine what
happened, why it did and what potential processes might be implemented to prevent an actual incident. Employees are less afraid to report a
potential error now that they report the location where the good catch occurred, says Massey. Debbie Barnard has worked in the healthcare
industry for over 23 years in extensive practice settings including acute care, home health, hospice and an academic setting. Near misses occur
three to three hundred times more often than adverse events. Anderson has witnessed a reduction in patient falls, transcription errors, and the
distribution delay of infusion devices. In addition to seeing improved near-miss reporting, M. Tips to Help Prevent Them" at http: Please check
your e-mail and follow the instructions to activate your account. Results The team defined and communicated a comprehensive summary of the
Good Catch process to all key stakeholders in the region to ensure that everyone was aware of their responsibilities for each component of the
process, from reporting and analysis to dissemination of learnings. Here are additional ways to help prevent medication errors. The staff and
physician partners agreeing to be recognized for a Good Catch submission are - in order to protect their privacy - not associated with details of the
actual Good Catch or any subsequent improvement. What is the middle name of your youngest child?

Near misses
If you have any questions, please contact our support team: Because of the short-term nature of that task, it is likely that these subcontractors
might not take the time to install the required toe boards. As our founding principle, we consider zero injuries to be the only acceptable standard.
Anderson has witnessed a reduction in patient falls, transcription errors, and the distribution delay of infusion devices. A copy of the Good Catch
Poster is displayed in Figure 2. Employee Engagement in Safety at every opportunity, so that all employees actively tailor and improve the safety
process at their site to provide a positive safety influence that is seen and felt. What initially started as an anonymous six-month pilot program is
now something more. Reporting near-misses and stopping unsafe work actions play a critical role in preventing incidents and helping us learn from
mistakes. For instance, a construction worker could be walking his site on a designated path and a wrench falls from scaffolding above, nearly
hitting him. Throughout the year, teams receive safety awards for submitting the most good-catch reports. Every Good Catch is analyzed at the site
and regional levels to try to determine what happened, why it did and what potential processes might be implemented to prevent an actual incident.
Companies that encounter problems with participation typically have near misses filled out on incident report forms. To ensure that CH found and
maintained a balance between accountability, system transparency and protection for staff reporting incidents, prior to launching Good Catch the
CH legal counsel reviewed the entire program. In the spirit of ending death on the job, organizations have been shifting their focus from reacting to
injuries to predicting them. Debbie Barnard has worked in the healthcare industry for over 23 years in extensive practice settings including acute
care, home health, hospice and an academic setting. As a registered user of longwoods. They indeed would fall into these procedures; however,
audits and inspections are often done by the safety pros or the leadership team and are infrequent. In , The University of Texas UT System, made
up of six health institutions, developed a system that allowed the anonymous reporting of close calls, near misses, and potential errors. At the plant
and project level, a robust process for reporting and learning from near-miss events and stop-work actions should already exist. Employees are
less afraid to report a potential error now that they report the location where the good catch occurred, says Massey. It incorporates all the
 elements used when performing a root cause analysis, such as: The safety field collects a plethora of safety intelligence from safety observations to
near misses. How can it be prevented from happening again? The team also replicated the Good Catch Toolkit on the Regional Quality intranet
site, which gave staff and physicians at all sites ready access to all the program materials. Fitness for Duty is part of our safety principle of condition
of employment and hiring and retaining safety-minded personnel. Near misses occur three to three hundred times more often than adverse events.
We reserve the right to determine which comments violate our comment policy. Thanks for visiting the new Longwoods website. For all reporting
and discussions at the regional level, Good Catches are stripped of any identifying information about patients, healthcare providers and patient care
units. Program Details Near Miss: The supervisor is required to ensure the hazardous situation is corrected to prevent any further incident. Why did
it happen? For example, if a staff member on the morning shift reports a transcription order error, the next staff member coming on shift is made
aware of the situation so he or she can be mindful of a potential good catch of the same nature. In the quest to enhance its safety systems, in March
Capital Health CH , one of the largest integrated health regions in Canada, implemented a Good Catch program. The team found that this element
of the program design was important to staff and physicians, as it ensured protection under Section 9 of the Alberta Evidence Act. The benefits of
leading indicators and analytics. An incident in which no personal injury or property damage was sustained, but which could easily have caused
injury or damage given a slight shift in time or position. The program has also facilitated the uptake of patient safety science in the region. Anderson
identify old equipment that was not working correctly and needed to be replaced. Limitations and Lessons Learned To ensure that CH found and
maintained a balance between accountability, system transparency and protection for staff reporting incidents, prior to launching Good Catch the
CH legal counsel reviewed the entire program. Please stay on topic. Near misses can identify safety system weaknesses, as in the types of near
misses reported, and cultural weaknesses, as in cases in which near misses are not reported. The organization uses a baseball theme as a form of
competition, says Massey. Next up for the hospital is implementation of a complete electronic reporting system, which will help improve the way
the catches are recorded and tracked. An email address is required but will not be included with your comment. The system also keeps a running
record of every good catch that is reported, and Massey and a performance improvement team review these to make sure good catches are not
reported twice. Integrating Teaching Strategies into Staff Development. In another instance the "bun" placement on the tray was changed by
Regional Nutrition and Food Services to avoid buns falling from one tray to another on the delivery cart.

Near misses | | Safety and Health Magazine

BSEE expands near-miss reporting system for offshore oil and gas industry. Thus, if we look at near misses as a continuum we can not only assess
the severity of these observations, but we also good catch safety program construction gain the much needed employee engagement to help
end death on the job this century. In the quest to enhance its safety systems, in March Capital Health CHone of the largest integrated health regions
in Canada, implemented a Good Catch program. This translates to approximatelyfor the almost 2. Employee Engagement good catch safety
program construction Safety at every opportunity, so that all employees actively tailor and improve the safety process at their site to provide a
positive safety influence that is seen and felt. Contractor Safety Management from prequalification, high expectations, orientation, and oversight.
The majority of reports received are related to medication administration, and this correlates with the actual incident reporting data in the region
over the past few years see Figure 4. Debbie Barnard has worked in the healthcare industry for over 23 years in extensive practice settings
including acute care, home health, hospice and an academic setting. During the first month of the program, 13 reports were received, but there has
been a steady increase; from October to February reports received ranged from to per month. Continuous Improvement through Safety
Improvement Plans making SIPs integral with each safety committee and all employees achieve good catch safety program construction sustain
superior performance. An email address is required but will not be included with your comment. Please enable JavaScript of your browser. The
program endeavours to build an environment that fosters safety reporting with the intent to prevent system breakdowns before they occur,
ultimately reducing the overall number of incidents and adverse events. Previously, the CH paper-based incident reporting system included the
ability to report Good Catches, but there had not been emphasis on reporting and analyzing Good Catches or near misses. Barach, Paul and
Stephen D. Discuss the Texas University Good Catch program Differentiate between the old and new program Identify good catch safety
program construction benefits from the Good Catch program Good Catch program at Texas organization encourages near-miss reporting Staff
members are often trained to report a potential medical error, or near-miss event. New England Journal of Medicine 6: Watch the Wheel of Safety
video. International Association of Fire Chiefs site. The most successful near-miss program I observed had the reporting form on a business card-
sized piece of cardstock. Program Details Near Miss: Within the good catch safety program construction month of the pilot program, M.