Fishing for Good Catches: Drive Culture Change & Reduce Wrong Site Surgery Cases

Wed. September 19| 8:15 AM - 9:30 AM | 205

After this session you’ll be able to:
  1. Understand the importance of reporting good catches to improve patient safety.
  2. Organize an interdisciplinary team to change culture in your facility.
  3. Develop tools for reporting good catches to aid in the reduction of wrong site surgeries.

Why this is important:

Literature reports that for every 300 good catches, one wrong-site surgery is prevented. To reduce wrong-site surgeries, we must reflect on the root cause. At UPMC St Margaret, Vocke identified two of those causes as the lack of education about good catches and reporting of problems. As such, she rectifed these issues and changed the overall culture of the organization with a simple plan, one you can replicate at your own facility.

While imparting the framework of their project, including leadership, education, and communication components, the speaker will also guide you in establishing a multidisciplinary team of nurses, physicians, and technicians to round out this culture change. It’s time to confront the problem of wrong-site surgeries head on, beginning with educating your team about good catches and communicating with intention, to create a culture of safety.


Track: Leadership/Administration Track

Registration Type: All Access Pass, OR Manager Conference Only


Dawn Vocke, MSN, MBA, RN, CNOR

Dawn Vocke, MSN, MBA, RN, CNOR

Clinical Director Surgical Services

UPMC St. Margaret

Role: Speaker