Job Description
The Patient Safety Officer (PSO) is responsible for the
development and oversight of the organization’s. Patient Safety program and its
associated initiatives. The PSO serves as the point of contact and liaison
with internal and external stakeholders on patient safety issues. The PSO works
to minimize incidents that may impact the safety and wellbeing of patients,
staff, contractors, and visitors.
Responsibilities
Patient Safety:
- Responsible
for conducting and coordinating multiple performance improvement functions
that foster quality improvement, patient safety, early intervention for
potential risk management concerns, and accreditation requirements for the
St. Peter’s Health system.
- Works
in close collaboration with Risk Manager to develop structures, processes
and policies to assure organizational compliance with accreditation
standards, federal and state laws and regulations, and internal
requirements relating to patient safety management.
- Must
utilize clinical knowledge and expertise to engage provider (physician and
mid levels and nurse collaboration in clinical and process improvement
initiatives.
- Utilize
clinical knowledge to facilitate and guide meaningful data analysis to
positively impact patient safety and clinical quality
- Develops
effective methods for reporting of patient safety events and close calls.
Develops key networking relationships.
- Identifies
and develops responses to patient safety trends, based on review of data
management system information and national patient safety goals.
- Assists
departments in minimizing, avoiding, and mitigating preventable error.
- Facilitate
Root Cause Analysis and de-brief events focused on identifying system
weaknesses and ensure appropriate and timely follow-up is completed
- Actively
participates in safety culture work and helps facilitate improvements
- Provides
consultation and training on patient safety concepts, safety event
analysis, error avoidance and mitigation, and implementation of safe
practices
- Other
duties as assigned.
Accreditation Program Management:
- Provides
expertise regarding accreditation and licensure standards. Identify, plan
for, communicate, monitor and evaluate actions to comply with existing and
new regulations, standards and accreditation requirements.
- Provides
leadership for preparation and readiness for regulatory and accreditation
surveys.
- Serves
as the patient safety liaison to regulatory agencies and accreditation
bodies.
- Provides
consultation to all departments on the interpretation and application of
DNV GL accreditation standards to maintain patient and staff safety.
- Provides
direct oversight to policy management process.
Qualifications
KNOWLEDGE/EXPERIENCE: Healthcare quality/patient
safety or clinical experience required. Hospital regulatory expertise (CMS, DNV
GL, or other hospital regulatory body) required and Health Care Quality
Improvement experience preferred, with emphasis in data collection, performance
improvement initiatives, patient safety initiatives, accreditation activities,
risk management, or patient relations. The incumbent must possess the ability
to lead groups and facilitate meetings. Leadership and management skill is
essential to be successful in this position.
EDUCATION: Bachelor’s required, certification in a
patient safety discipline preferred either at hire or 24 months after hire.
LICENSE/CERTIFICATION/REGISTRY/additional qualifications: Certified
Professional in Patient Safety (CPPS) within 24 months of hire