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Company: MedStar Medical Group
Location: Washington, DC
Career Level: Entry Level
Industries: Not specified
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Description

Provides organization, direction, oversight and support as required to a wide range of quality improvement related activities. Acts as the system administrator and database manager for the hospital's patient safety event management (PSE) system. Works with clinicians, administrators and leadership within the hospital to implement and sustain a system for process improvement that supports the reduction of medical errors and other factors that contribute to unintended adverse patient outcomes. Fosters a just culture of safety through HRO education, continuous quality improvement and systems improvement based on data analysis. These functions are coordinated with the department head and are performed in accordance with all applicable laws and regulations and MedStar Health's philosophy, policies, procedures and standards.
Education

  • Bachelor's degree preferably in Nursing or other Healthcare related field required or
Experience
  • 3-4 years Three years of progressively responsible patient safety and administration experience preferably in a health care setting. required
  • One year of relevant professional-level work experience may be substituted for one year of required education.
Knowledge, Skills, and Abilities
  • Ability to communicate effectively, to identify issues and to work toward solutions that will improve the quality of care provided by the hospital and improves patient safety.
  • Ability to synthesize data and present the results in an easily understood form.
  • Facilitates the Patient Safety Program, including coordinating Patient Safety & Quality related meetings such as the Council for Associate and Patient Safety (CAPS), the Patient Safety Oversight Committee (PSOC), the Quality and Safety Executive Council (QSEC), the Patient and Family Advisory Council for Quality and Safety (PFACQS), and Workplace Violence Prevention Committee (WPVP) to include but not limited to setting agendas and following up on deliverables as needed.
  • Serves as the institutions system/database manager and resource for the hospital's Patient Safety Event Management System (PSEMS/SafetyNet). Accurately maintains the data and data entry in the PSEMS database. Maintains a working knowledge of the PSEMS database and all associated applications. Supports and encourages error reporting throughout the organization and ensures that information about patient safety is disseminated appropriately throughout the institution, including but not limited to creating the Patient Safety Newsletter and maintaining the Center for Patient Safety Starport page.
  • Triages all patient safety events in SafetyNet and ensures appropriate departments follow up. Uses critical thinking and analysis to actively review each occurrence for potential harm to patients and institution. Investigates occurrences reported in the PSEMS database for identification of trends and recommends/facilitates change within the organization to improve patient safety based on identified risks. Analyzes, prepares, designs and presents statistical reports on quality/patient safety initiatives on requested subjects to senior leadership and other departmental leaders as requested by the Chief Quality & Patient Safety Officer or executive leadership. Extracts and analyzes safety data from the hospital's PSEMS database for both internal and external reporting.
  • Acts as resource to all medical and hospital staff on all issues related to patient safety and quality improvement. Initiates and coordinates research of literature pertinent to patient safety and quality improvement activities in support of enhancement initiatives as needed.
  • Enters reportable safety events into external databases including but not limited to, the Department of Health through ECRI and the FDA through MedSun.
  • Promotes and enhances engagement in the MSH Safety Culture Survey and assists in the development of action plans as appopriate.
  • Identifies quality improvement opportunities; initiates appropriate problem definition, process analysis, data collection and analysis, and reporting. Collaborates on the development of policies and procedures effecting organizational safety.
  • Coordinates the Quality and Safety Resident Elective program.
  • Identifies quality improvement opportunities; initiates appropriate problem definition, process analysis, data collection and analysis, and reporting.
  • Serves as a point person with internal and external clients for quality improvement and patient safety related activities. Organizes and facilitates multidisciplinary workgroups to effect systematic resolution of quality and patient safety related issues. Facilitates process improvement initiatives by using problem-solving methodologies, such as Root Cause Analysis (RCA), Failure Mode Effects Analysis (FMEA), and more.
  • Supports in the planning and execution of the annual Safety Immersion Day.
  • Performs administrative duties related to department daily operations
  • Performs other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and is not considered to be all inclusive.


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