The Patient Safety Leader (PSL) is the Quality & Patient Safety department lead for all hospital quality and patient safety improvement efforts. As the liaison between the department and the hospital and medical staff, the PSL establishes responsive relationships with all levels of the healthcare team, maintains effective communication with the key stakeholders with regards to patient safety related information, provides exemplary leadership through pro-active and/or reactive quality and patient safety initiatives, and helps prioritize and manage hospital quality and safety projects. The PSL reports to the Director of Quality & Patient Safety.
PRINCIPAL DUTIES & RESPONSIBILITIES:
- Support the Mission and Vision of RML Specialty Hospital by demonstrating RML’s Core Values of Service, Teamwork, Accountability, Integrity, Respect and Stewardship (STAIRS) in all actions.
- Supports the Quality & Patient Safety department efforts toward a comprehensive and effective program for evaluating and improving quality of care.
- Coordinates the investigation of patient safety related events (including near miss events) with department leaders. Interviews all levels of hospital staff to obtain a deeper understanding of adverse patient safety related events that result in serious harm or have the potential to result in serious harm. Analyzes patient care information from multiple data sources, including but not limited to the Electronic Medical Record. Reports internally on the results of the investigation/analysis and externally, as required, to state-mandated reporting systems and/or patient safety organizations. Identifies patient safety event related trends and collaborates with the appropriate hospital and medical staff to develop improvements. Tracks and monitors patient safety related events and ongoing projects.
- Identifies opportunities for improvement in process, structure and /or outcome and determines the appropriate process improvement methodology. Uses improvement data and/or methods such as RCAs, FMEAs, process walks, flow diagraming, PDSA, DMAIC, and A3s to determine causation and subsequently implement and track improvements projects. Leads multi-disciplinary project teams to ensure active participation of appropriate department personnel. Conducts periodic project status meetings and provides periodic status reports.
- Facilitates and is the change agent toward building a culture of patient safety. Understands, articulates and supports Just Culture concepts. Partners with hospital leaders to develop tactics to address opportunities identified from culture of safety surveys.
- Supports activities and provides subject matter expert input on matters of transparency and disclosure of patient harm events.
- Educates staff on National Patient Safety Goals, National Quality Forum/Leapfrog Safe Practices. Facilitates change in support of organizational strategies to meet expectations of national patient safety benchmarking (LTACH Compare).
- Facilitates education to all levels of the organization on patient safety improvement concepts and processes. Collaborates with external experts to identify best practices, such as Patient Safety Organizations, National Patient Safety Foundation, Agency for Healthcare Quality and Research, National Quality Forum (NQF), Medication Safety (ISMP), and Accreditation and Regulatory bodies (TJC, CMS, IDPH). Acts as a subject matter expert on patient safety related concepts and various topics.
- Assists, as needed, in regulatory and accreditation activities and facilitation and tracking of improvements around of patient safety related non-conformities. Performs process walks and safety rounds.
- Participates in departmentally appropriate hospital committees, including but not limited to, the Quality & Patient Safety Committee.
- Performs other duties as assigned.
JOB REQUIREMENTS & CHARACTERISTICS
Skills & Abilities
License & Certifications
Work is performed in an office and patient care environment.
The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it.