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The good catch pilot program: increasing potential error reporting.

JoAnn M Mick1, Geri L Wood, Robert L Massey

  • 1Department of Nursing Research and Evidence Based Practice, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA. jmick@mdanderson.org

The Journal of Nursing Administration
|November 3, 2007
PubMed
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The Good Catch Program boosted reporting of potential medical errors by changing "close call" to "good catch" terminology and adding safety reports and incentives. This initiative significantly increased error identification and reporting.

Area of Science:

  • Healthcare safety
  • Medical error reporting systems

Background:

  • Low reporting rates in existing close call systems (175 reports over 2.5 years) indicated a need for intervention.
  • Existing systems failed to capture a significant number of potential errors.

Purpose of the Study:

  • To evaluate the effectiveness of the Good Catch Program in increasing the reporting of potential errors.
  • To assess the impact of specific program strategies on reporting culture.

Main Methods:

  • Implementation of the Good Catch Program with three key strategies: terminology change, end-of-shift safety reports, and executive-sponsored incentives.
  • Monitoring and analysis of reporting data before and after program implementation.

Main Results:

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  • Significant increase in the number of reported potential errors following program implementation.
  • Positive outcomes attributed to the combined effect of terminology change, new reporting tools, and leadership support.

    • Conclusions:

    • The Good Catch Program successfully enhanced the reporting of potential medical errors.
    • A multi-faceted approach including terminology, reporting mechanisms, and incentives is effective in improving healthcare safety culture.