[Insert Facility Name] Joins Arkansas’ Movement to Drive Change Using Near Miss Analytics

2017 Good Catch Campaign Campaign Overview Starts January 1, 2017 Aligns with [Insert Facility Name] strategic and operational patient safety goals Increases education/awareness of Near Misses Supports Culture of Patient Safety & Non-Punitive Reporting Increases Number of Near Misses Reported Rewards/Recognizes those actively contributing to patient safety via Near Miss Reporting: Individual Staff Individual Physicians Teams/Departments/Units/Committees

A Near Miss is a “lesson learned”. Why Focus on Near Misses? Definition of Near Miss Event that did not reach a patient but only because of chance or timely intervention. Also known as good catch or close call. A Near Miss is An opportunity to prevent harm to patients in the future. A method for revealing process and system vulnerabilities. A Near Miss is a “lesson learned”.

What Do Near Misses Look Like? Examples of Near Misses “Upon pulling PO Protonix out of the Pyxis for my patient, I found 6 Metoprolol 25mg tabs in the bin along with the Protonix.” “Fall Risk patient was returned to chair without a chair alarm.” “Penicillin was ordered for a patient allergic to the drug. The pharmacist was alerted to the allergy during computer order entry, the prescriber was called, and the penicillin was not dispensed or administered to the patient.” “Incorrect patient band was on my new patient from ER.”

Be a Patient Safety Advocate See One, Report One. Everyone has responsibility for keeping patients and staff safe. Be part of improving your organization’s culture through proactive Near Miss reporting. Know that it is ok to report Near Misses before a patient is put at risk or harmed. Make patient safety your number one priority. If you see something that has the potential to cause harm to patients, report the Near Miss! Include steps leading up to the Near Miss and what may have caused it. Communicate what should happen to prevent it in the future and keep patients safe.

How to Report Near Misses [Insert Facility Details] Name of Data Collection Method How to Access Reporting System (paper/electronic) Reporter Feedback (Successfully Submitted, Reviewed by Supervisor/Safety Dept, etc.)

Tracking Progress [Insert Facility Details] Explain how Near Misses will be used internally to improve care. When and where will progress be shared throughout facility? (e.g., huddles, newsletter, rounding, etc.)

Promotion & Recognition [Insert Facility Details] List promotional activities to sustain momentum (e.g., email signatures, use of infographics, posters, screensavers, etc.) Explain Internal Reward Programs (if applicable) Eligibility Celebrations Rewards/Incentives

Questions? [Insert Facility Contact Person]