Great Catch winners help YNHH become a high reliability organization

Brian Coutermash; David Tomasheski, RN

Congratulations to these Great Catch winners for modeling HRO safety behaviors and taking action to improve patient safety.

Outpatient

Brian Coutermarsh, Heart and Vascular Center interventional technologist, was recognized for attention to detail and speaking up for safety during a procedure. Coutermarsh was inspecting the equipment that had been implanted during the procedure, and noted that a marker used as an X-ray reference point was missing. Coutermarsh escalated his concerns to the attending interventional radiologist, who promptly performed an X-ray showing that the marker was in the patient’s right ventricle. Thanks to Coutermarsh’s use of CHAMP behaviors, a potentially critical complication was avoided.

Inpatient

David Tomasheski, RN, Utilization Review, was honored for his attention to detail, 200% accountability and escalating his concerns. While making rounds in the Emergency Department after a busy night, he noticed that a patient who had been brought in after a motor vehicle accident appeared very pale and confused. Tomasheski escalated his concerns to the ED attending physician, who immediately evaluated the patient and sent him to the operating room for a splenectomy.