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Great Catch winners help YNHH become a high reliability organization

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


James McNamara, RN, Saint Raphael Campus Emergency Department, was recognized for attention to detail and practicing a questioning attitude. A patient was transferred from another ED for a plasma transfusion and admission. While preparing the transfusion, McNamara reviewed the patient’s medical record and noted an anaphylactic allergy to plasma. He held the transfusion and contacted the Blood Bank to cancel the procedure and return the unit. McNamara’s use of CHAMP behaviors averted a potentially catastrophic outcome for the patient and identified an opportunity for process improvements.


Lisa Cerrone, observation associate, Pediatric Emergency Department, was recognized for attention to detail, 200% accountability and escalation of concerns. Cerrone was using a video monitoring program to observe a patient with a history of substance abuse who was being evaluated for behavioral concerns and addiction treatment. The patient had been cleared by her team for visitors, and Cerrone noticed a visitor passing items to the patient. She activated the alarm to alert Protective Services and the clinical team. The patient was found to have a small packet of what was later identified as a harmful substance. Cerrone’s action helped prevent patient harm, and the visitor was subsequently detained.