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Position Responsibilities

• Participates in the investigation and analysis of adverse events, including Serious Safety Events, Precursor Safety Events and near misses. Tracks, monitors, and reports follow-up on RCA recommendations and compliance. Report these findings to appropriate committees.
• Support improved outcomes by emphasizing both appropriate behaviors and robust systems that include concise accountability measures and follow-up.
• Identify and submit peer review requests.
• Identify and submit requests for potential compensatory incidents (PCI).
• Facilitate thorough and credible failure mode effect analysis to identify and mitigate unintended adverse patient outcomes and evaluate effectiveness of process changes.
• Supports training for topics such as just culture and high reliability principles and standardization on Cause Analysis methodology.
• Partners with clinical quality team to ensure patient safety goals are met and addressed.
• The Risk Safety Manager will work in conjunction with the Clinical Quality/Safety Department towards the development and implementation of system wide patient safety initiatives.
• Engage in collaboration between and within facilities in the effort to improve patient safety, clinical and quality outcomes.
• Review of all actual/potential cases to identify risks and work with key internal stakeholders to develop mitigation strategies to prevent recurrence.
• Support and encourage harm reporting throughout the organization through a non-punitive just event reporting system.
• Provide feedback that acknowledges both the value of event reporting and review of reported events.
• Utilize alerts and best practices (e.g. Sentinel Event Alerts) to perform gap assessments and implement strong actions that will alleviate identified gaps.
• Mentors Safety Coaches across the organization.
• Participates in integration efforts of quality/patient safety/clinical excellence across the system.
• Participates in assigned committees including Patient Safety Committee, QAPI, and Environment of Care/ Emergency Preparedness.
• Champions the completion of Culture of Safety Survey.

Position Qualifications Required:

• Registered Nurse with a minimum of 5-7 years clinical experience in hospital or health system.

• Strong background in performance improvement

• Ability to lead groups, build consensus, and communicate effectively with all levels of personnel within and outside the organization
• Excellent writing, speaking, and research skills
• Analytical skills and the ability to demonstrate critical thinking
• Ability to balance and effectively prioritize numerous projects covering a variety of subject matter
• Strong leadership qualities (task completion, motivation, organization)
• Ability to inspire others to believe in the culture of patient safety. Effective change agent.

Reuired Education:

Bachelor’s degree from an accredited college or university required, Masters preferred.

Training/Certification Licensure:

RN licensure required.

Certification in healthcare quality or risk management preferred.