Provides leadership for safety assessments, coordinates the activities of the Patient Safety Committee, educates other practitioners on system-based causes for medical errors, management and staff, and communicates evidence -based practices regarding effective patient safety strategies to stakeholders within the organization
Oversees the creation, review and refinement of the scope of the Patient Safety Program within the facility on an annual basis.
Collaborates with Quality Department in meeting Joint Commission and other regulatory agency requirements.
Coordinates the activities of the Patient Safety Committee including public reportable clinical data sets.
Serves as liaison between CNO/CEO and Safety Committee.
Reports medical errors and near misses, as well as corrective actions taken.
Oversees the management and use of medical error information.
Reviews internal error reports and utilizes information from external reporting programs to achieve internal outcomes.
Investigates (along with Risk Management) patient safety issues within the facility.
In collaboration with Quality/Risk Management, identifies, manages, and participates in the review of adverse events that may have or have resulted in patient harm.
Participates in sentinel event process.
Develops action plans identified through root cause analysis.
Other duties as assigned
Bachelor's Degree in Nursing, Healthcare Administration, Business, Engineering or related field required.
Certified Professional in Patient Safety (CPPS) within one year of hire.
Complexity of Work:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
In depth knowledge of health care delivery systems.
Demonstrated knowledge in principles of risk management, quality and performance improvement methods
Minimum five years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program or related healthcare experience. In depth knowledge of patient safety best practices, joint commission standards, and conditions of participation
Ability to walk extensively, ability to lift up to 25 pounds, and the ability to wear protective equipment such as respirators, boots, gloves and protective eye gear.
Position requires visual acuity with the ability to smell, taste and hear.
Personal Protective Equipment:
Follows standard precautions using personal protective equipment as required.
Keywords: Patient Safety, Risk Management, Joint Commission, clinical data sets, CPPS, RN
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