The Olivia Hospital & Clinic emergency room (ER) team has received the award that recognizes hospital and health system professionals who demonstrate their commitment to keeping patients safe by speaking up to prevent a potential patient safety issue.
The ER team accepted the quarterly Minnesota Hospital Association (MHA) Good Catch for Patient Safety Award at a virtual presentation on Feb. 16.
The ER team was caring for a patient experiencing seizure-like activity and an anti-seizure medication was ordered. A nurse went to retrieve and prepare the medication but inadvertently pulled a similarly named medication by overriding an alert in the system tied to medication distribution.
Returning to the patient, the nurse used a barcode scanning device to scan the patient's medical record barcode and then scan the medication's barcode. The device compared the medication ordered on the patient's electronic medical record with the medication scanned and alerted the nurse that this was the incorrect medication. The medication was immediately removed from the patient's room and the provider and the charge nurse were notified of the good catch.
By following the protocol in place for barcode scanning prior to administering a high-risk medication, the ER team was able to avoid potential harm to the patient. Because of this good catch, Olivia Hospital & Clinic also implemented an ongoing quality initiative to decrease medication distribution system overrides and increase barcode scanning goals.
"It is because of actions taken every day by dedicated professionals like the Olivia Hospital & Clinic ER team that Minnesota hospitals and health systems continue to be front-runners in patient safety," said Dr. Rahul Koranne, president and CEO, MHA. "The team's efforts remind us what a difference each person can make to ensure Minnesotans are healthy and have access to the right care at the right time in the right place. Thank you to Olivia Hospital & Clinic for partnering with us on a creative virtual celebration that aligned with current health and safety practices to recognize this good catch and honor the ER team."
Visit the MHA website nominate a hospital or health system employee or team for the award. To learn more, contact Tania Daniels, vice president of quality and safety, MHA.