Safety culture and good catch program

1. A Culture of Safety
How the Good Catch Program and YOU help
to determine safety priorities

2. Overview
▪ Introduction/Program Overview
▪ Definitions
▪ Incident
▪ Adverse Event
▪ Near Miss
▪ Safety Good Catch
▪ Quality Good Catch
▪ How Employees Will Be Recognized?
▪ FAQ’s and Examples

3. T
This organization is committed to the elimination of
worker injuries, patient safety, quality issues,
occupational illnesses, damage to equipment and
property. Our goal is to protect the general public.
In order to achieve this vision we have implemented a
good catch program . The good catch program allows
employees to be recognized for their contribution thereby
creating an employee–driven safety program, further
strengthening the culture and quality of health and safety
within our organization.
Program
Overview

4. Definitions
It is important to differentiate between incidents, adverse events, near misses and quality
issues.
▪ INCIDENT: An incident is an unplanned, undesired event that adversely affects completion
of a task.
▪ ADVERSE EVENT: A negative or unfavorable reaction or result that was unintended,
unexpected or unplanned.
▪ NEAR MISS: Near misses describe incidents where no property was damaged and no
personal injury sustained, but where, given a slight shift in time or position, damage and/or
injury easily could have occurred.
▪ SAFETY GOOD CATCH: Recognition of an event or circumstance which had potential to
cause an incident or substantial company or employee loss, but which did not occur, due to
a corrective action and/or other timely intervention following the recognition.
▪ QUALITY GOOD CATCH: Recognition of an incorrect procedure, material or equipment
which had potential to cause non-quality work, but which did not occur, due to a corrective
action and/or other timely intervention following the recognition.

5. Why?
• Increase patient safety incident reporting
• Improve the results of the Patient Safety
Survey
• Create a culture of Communication &
Safety
• Increase organizational participation
• Implement improvement actions based on
what is learned from the Good Catches
… is it so important to report a Good
Catch (aside from the reward and
recognition)?

6. Rewards & Recognition
Every month we will recognize
one employee who reported a
Good Catch and made a
difference!

7. Identifying
Potential
Barriers to
Reporting
We will engage team members in a fun, friendly competition
as they report identified safety concerns in daily practice.
We will provide positive feedback to assure employees that a
higher submission volume of potential error reports
demonstrates a greater focus on patient safety.
We will provide a platform for employees to share their
experiences with the “Good Catch Program.”
We will encourage employees to take credit for all
interventions for patient safety.
We will promote a fair and just culture for error reporting! We
encourage you to tell us our mistakes

8. FAQ’s and
Examples
Near miss reporting is one of the most powerful information streams your
organization has the ability to learn from.
Do people in your organization understand and know what to report and
how?
Are they encouraged to report by the leadership team and by each other?
What is the minimum threshold for how significant an incident is before it is
recommended to be reported?
Do you have a system in place where the issue is first discussed with
supervision and then written up if leadership deems the issue noteworthy?
Would everyone in your organization answer questions related to near
misses with the same answers?

9. Scenarios
where a
Good Catch
is needed
Example 1: Someone mops a floor and forgets to place a wet floor
caution sign. This could result in an employee slipping.
Example 2: A medication was prescribed that didn't make sense for
the patient's condition. When a nurse questioned the order, she
learned it had been prescribed for the wrong patient.
Example 3: You trip on uneven pavement outside a building. Being
agile and empty handed, you regain your balance with no harm
done.
Example 4: A medication was prescribed for a patient with a known
allergy to it. The allergy had been documented in the electronic
medical record (EMR). When the prescription was questioned, it
was cancelled.

10. FAQ’s and
Examples

11. Summary
To fill out a Good Catch Form, please find them located in the Platform
under Communication.
Please let your supervisor know if you have any questions filling one
out!
Further understanding of good catches can be found in the book:
Patient Safety: Achieving a New Standard for Care (2004)
https://www.nap.edu/read/10863/chapter/11