Job description
GENERAL DUTIES:
The Patient Safety Coordinator (PSC) works under the direction of the Patient Safety Officer (PSO) and the Chief Quality Officer (CQO) to support the facility-wide patient safety program. This role will work with others within the facility to focus on process improvements that will support the reduction of medical/health care errors and other factors that contribute to unintended adverse patient outcomes. This practitioner provides may participate in safety assessments, assist in coordination of the activities of the patient safety committee, educate other practitioners on the system-based cause for medical errors, consult with management and staff, and communicates literature-based ideas regarding effective patient safety strategies to others within the organization. Key responsibilities of this position also include working with all services to hardwire reliable delivery of healthcare systems that incorporate best practice patient safety methodologies.
This individual must foster and maintain collaborative relationships with all employees and medical staff in implementing best practices in patient safety. Responsibilities include, but are not limited to, reviewing patient safety events in the electronic reporting monitoring system (eSRM), tracking and trending like occurrences, participate and/or lead root cause analysis meetings, and complete the root cause analysis documents. Responsible for initiating intense analysis and focused reviews for occurrences that do not reach the level of a sentinel event but require collaborative multidisciplinary involvement to prevent reoccurrence, initiating and monitoring patient safety initiatives, monitoring and ensuring compliance with The Joint Commission (TJC) National Patient Safety Goals, educating and updating staff and employees on patient safety initiatives and best practices. This individual works closely with the Patient Safety Officer to ensure all events are appropriately reviewed from a clinical perspective.
DEPARTMENT SPECIFIC DUTIES:
- Participates in the Patient Safety Program and the Patient Safety Committee.
- Investigates patient safety issues within the organization.
- Leads Root Cause Analysis, Focused Reviews, and Intense Analysis.
- Supports and encourages error reporting, including near misses, throughout the organization through a nonpunitive reporting system.
- Ensures compliance with audits and monitoring defined in Action Plans.
- Identifies reportable events which the PSO and CQO in order to comply with five-day reporting requirements for California Department of Public Health (CDPH).
- Works collaboratively with hospital leadership to promote best practices for patient safety and ensure compliance with patient safety initiatives.
- Revises and/or develops policy and procedures involving patient safety.
- Designs and implements educational presentations that facilitate the understanding and implementation of patient safety standards within the organization.
- Serves as a resource for employees and medical staff on issues of patient safety.
- Supports and analyzes the annual Patient Safety Survey and collaborates with departmental leaders to address survey findings.
- Handles product recalls and defective products through an established process and reports to FDA and/or the manufacturer as required under the Safe Medical Device Act.
- Regularly updates the organization on TJC Sentinel Alerts, patient safety initiatives, and best practices for patient safety.
- Supports effective responses to adverse occurrences and Sentinel Events.
- Provides an ongoing proactive approach to reduce risk.
- Integrates patient safety as a priority into new processes and the redesign of existing processes, functions and services.
- Participates in Failure Mode and Effects Analysis.
- Recommends and facilitates change in the organization to improve patient safety based on identified risks
- Supports processes for patient and family engagement in the patient safety systems of the organization
- Ensures that data for decision making for patient safety is robust in terms of rigor and representative of the systems being examined.
- Maintains confidentiality of patient information and the privileged status of information
- Participates with patient grievance and complaint investigations.
- Adopts and lives the Values of DRMC: Patient Focus, Accountability, Compassion, Continuous Improvement, Diversity, Innovation, Integrity, Joy, Teamwork
- Protects and respects the integrity of the Patient Safety Office in all decision-making processes and activities.
POSITION QUALIFICATIONS:
Required:
- Must be licensed to practice nursing in California
- Must have Bachelor’s Degree in patient care related field
- At least 3 years of experience (five years preferred) within a hospital leadership role
- Experience in leading meetings
- Strong skills in data interpretation
- Superior interpersonal skills
- Strong leadership qualities (task completion, motivation)
- Ability to handle multiple simultaneous tasks; strong skills in prioritizing and meeting deadlines
- Excellent communication skills
- Ability to work under pressure
Preferred:
- J.D, or Master’s in Nursing, Health Services, or Patient Safety
- Certified Professional Healthcare Risk Management (CPHRM)
- Experience in coordinating root cause analysis and intense analysis
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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