Great Catch winners announced

Kim Wholey, RN, NICU, earned the Great Catch Award for identifying and preventing a potentially serious medication error before it reached a patient. An infant had an order for 1.8 mg (0.18 mL) of a medication. Wholey received a syringe with the correct label and the medication successfully scanned against the order. During the required independent double-check, however, Wholey noticed that although the label indicated the correct dose, the syringe had been filled to 1.8 mL – 10 times the ordered dose. She paused the process and investigated the discrepancy, stopping the line before any medication reached the patient.

Tena Abraham, clinical pharmacist, earned the Great Catch Award for her actions after reviewing a patient's medication orders. Abraham noticed the patient had already received their scheduled morning dose of a long-acting insulin medication that day and that a new order had been entered for a dose to start that same evening. Recognizing that the patient would receive a large dose of the medication within 24 hours, Abraham contacted the provider to clarify the intended start date. The provider confirmed that the order was intended to begin the next day and corrected it.