Patient Safety Coordinator
2 months ago
General Summary
Under limited supervision, analyzes patient safety events, and communicates with hospital leadership, clinical teams, and Risk Management to drive institutional change toward high reliability and zero harm. Provides leadership and direction to multi-disciplinary teams (which include physicians and senior leaders) to collaboratively accomplish patient safety and safety improvement strategies at UMMC. The position encompasses various roles (e.g., coordinator, educator, project manager, and facilitator) and requires effective interpersonal and management skills. A deep understanding of clinical care and clinical leadership is integral to gaining credibility and collaboration from colleagues. Duties include working with UMMC departments and MMCIP (risk management) on risk reduction strategies to enhance patient safety in the context of Just Culture. This role works with leadership, staff, and physicians to provide a planned, systematic, organization-wide approach to identify, measure, monitor, and evaluate patient safety and improvement activities. Reviews patient records and prepares patient safety event summaries and timelines necessary for informed, collaborative discussion and problem-solving. Helps develop and revise policies and procedures; interprets and ensures compliance with UMMC policies, quality standards, regulations, and codes. Manages reports to regulatory agencies, including the Joint Commission and Office of Healthcare Quality. Develops and maintains interactive and collaborative relationships with key medical staff. Serves as a vital patient safety resource to clinical teams and support staff including faculty, unit dyads, and front-line team members.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Assists in the coordination and implementation of activities in the journey to become a high reliability organization with the focus on zero harm.
Coordinates with leadership to direct the patient safety program
Coordinates root cause analysis (RCA) and follow-up action plans in accordance with The Joint Commission and State of Maryland COMAR Regulations for sentinel event and adverse event review, reporting, and improvement plans. Facilitates action plan creation and completion.
Partners with UMMC leadership to facilitate, prioritize, and advance the ongoing focus on a culture of patient safety.
Leads activities to improve event reporting and response to near-miss events.
Determines utilization of data to drive improvements in Patient Safety and minimize preventable harm.
Responsible for communication and education regarding patient safety and risk prevention strategies throughout the hospital and ambulatory setting.
Develops and implements education for employees and medical staff related to patient safety. Publish monthly Lessons Learned for nursing staff and 60 Seconds of Safety for providers as well as other educational documents such as CPUs and Safety Flashes.
Serves as a consultant and resource person to unit managers and unit/department clinical representatives and assists clinical and ancillary departments with the development of clinical and/or patient safety indicators, criteria, and process improvements.
Responsible for the following aspects of the Event Reporting System:
Reviewing daily event reports and notifying appropriate managers for follow-up, as indicated and escalates to leadership when needed.
Developing reports to identify patterns and trends
Tracking trends and anticipating events to reduce preventable harm
Identifying nominees for monthly Great Catch awards
Identifies and investigates patient safety events, opportunities, trends, and sentinel events
Participates in in-service education programs including orientation related to patient safety and the prevention of medical errors and compliance with regulatory (NPSG) standards.
Participates in Proactive Risk Assessments, as required.
Conducts chart reviews and interviews to inform RCA discussion for the relevant discipline/program to investigate patient safety and adverse events
Assists with the implementation of the Safety Culture Assessment survey instrument as determined by UMMS. Assists with debriefings with individual work areas as results become available and collates action plans.
Shall be a member of or lead key hospital committees and teams as requested for the purpose of ensuring that patient safety and the prevention of medical errors are addressed as needed.
Assists the UMMC Patient Safety Officer with reporting to the State and The Joint Commission.
Ensures compliance with regulatory requirements related to Patient Safety. Ensures compliance with external regulators and accrediting agencies (e.g., The Joint Commission, CMS, Maryland State Department of Health Office of Healthcare Quality (OHCQ). Ensures that Medical Center and department policies, procedures, and standards meet requirements and regulations of regulatory and accrediting agencies related to patient safety.
Education and Experience
Master's degree in nursing or related health science field is preferred.
Current licensure in related field is required (i.e. nursing (RN), physical therapy).
Three to five years of experience in patient safety in an acute care facility is required. Experience in an Academic Medical Center is preferred.
Knowledge, Skills and Abilities
Knowledge of federal, state, and local requirements of regulatory and accreditation agencies is required.
Knowledge of quality improvement measurement, analysis, and improvement strategies is required.
Strong leadership and interpersonal skills are required.
Proficiency and demonstrated effectiveness in problem-solving, analytical skills, and implementation of new programs.
Highly effective oral and written communication skills are required to work with all levels of hospital personnel, administrators, and clinical staff as well as outside agencies.
Ability to work with limited supervision in the management of projects and programs is required. Initiative and problem-solving skills are needed.
Ability to develop collaborative programs and projects with other disciplines is required. Must be able to contribute to team effectiveness, build relationships, and facilitate improvements.
General knowledge of PC and database management software packages is required.
Basic project management skills
Strong presentation skills including executive-level presentations.
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