The Patient Safety Coordinator promotes a culture of safety and ensures appropriate patient safety standards and guidelines are implemented in the delivery of healthcare to our patients, including but not limited to The Joint Commission National Patient Safety Goals, National Quality Forum, and Leapfrog Safe Practices. The purposes of which are to develop, implement, and maintain comprehensive, proactive processes that promote: Identification, analysis, and prioritization of actual or potential risks. Examination of alternative risk management/patient safety strategies. Selection, communication, and implementation of risk management & patient safety strategies for regulatory & accreditation compliance (i.e. National Patient Safety Goals, including system changes, where appropriate). Monitoring of those strategies to ensure that the Patient Safety Program is effectively preventing, reducing, and/or controlling injuries or loss and protecting the health of patients. Minimizing potential risks to promote patient safety and enhance the quality of care and services provided to patients. Provides program development and support to this Hospital and the Community Hospital staff and leadership in their infection Prevention and Quality Improvement.
- Collaborates with various departments/services in the implementation of programs, i.e. National Patient Safety Goals, Leap Frog, and NQF as required by accreditation/regulatory and/or external agencies/bodies.
- Monitors compliance on patient safety indicators by performing direct observation via patient safety tracers on an on-going basis and audit activities.
- Promotes patient safety culture by rounding on inpatient care units and ambulatory areas to perform coaching and mentoring on patient safety issues for staff and physicians.
- Provides consulting services to staff, physicians on patient safety issues.
- Provides patient safety education to staff, members and physicians.
- Develops, formulates patient safety reports/learnings to be shared with staff, other committees/teams and leadership as needed and appropriate.
- Partners with various departments in developing goals and initiatives driven by national and regional priorities. Conveys shared leadership messages to reflect joint executive sponsorship and consistency in messaging.
- Champions the technological advancement and enhancement of the hospital electronic medical record (EMR) to optimize quality, service, and patient safety.
- Conducts patient safety risk assessment and annually completes patient safety program evaluation.
- Provides input into the design of an effective patient safety plan.
- Facilitates and coordinates implementation/deployment of patient safety system changes, special projects and initiatives.
- Communicates and disseminates processes/information relative to patient safety best practices and learning at all levels of staff, leadership, and physicians.
- Represents the medical center on patient safety matters in various programs as assigned.
- May participate in community/healthcare industry activities to enhance the state of patient safety and clinical risk management
- Collects and analyzes data related to patient safety programs and initiatives.
- Performs risk assessment and other quality improvement tools such as failure modes and effects analysis, root cause analysis, use of analytical tools such as run & Pareto charts, PDSA improvement models to facilitate and engage changes in processes for patient safety through the identification of process and change ownership identified in action plans.
- Reports medical errors and near misses, as well as corrective actions taken. Oversee the management and use of medical error information. Review internal error reports and utilize information from external reporting programs to achieve internal outcomes.
- Participates in the development and implementation of internal audits for TJC, DMHC, CMS, NCQA, DHS, and State Programs compliance.
- Coordinates the audit process, including reviewing, analyzing, and reporting findings internally to the Director, Senior Leadership, and to this Hospital and the other Hospital Quality Committees.
- Plans and facilitates Quality meetings for the hospitals
- Facilitates medical staff peer review.
- Minimum two (2) years of nursing experience.
- Bachelor's degree in nursing, health services administration, business or public administration or public health OR four (4) years of experience in a directly related field.
License, Certification, Registration
- Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure).
- Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.
- Knowledge and skills of patient safety science, culture of safety, human factors, interpersonal and collaborative skills.
- An ability to inspire and influence others to believe and take action in the culture of patient safety.
- Effective verbal and written communication skills.
- Knowledge of risk assessment and quality improvement tools such as failure modes and effects analysis, root cause analysis, use of
- analytical tools such as run & pareto charts, PDSA improvement models.
- Minimum one (1) year of experience in clinical risk management, patient safety and performance/quality improvement.
- Master degree in business administration or health care preferred.