Experience and Education
- At least Five (5) years of pharmacy or Five (5) years clinical nursing experience is required. Experience with event reporting systems is strongly desired. BS degree or PharmD from an ACPE accredited school of pharmacy OR RN with BSN. Licensed by the Texas State Board of Pharmacy (TSBP) or licensed with the Texas State Board of Nursing. Working knowledge of event reporting systems, process improvement techniques, root cause analyses, electronic medical record functionality and state and federal regulatory standards. He or she needs a working knowledge of CMS and TJC rules as well as internal policies relevant to a role in medication safety. Familiarity with NQF definitions and the Human Factors Analysis framework for event investigation is desired.
- Review medication eventreports in a supporting role for Medication Safety Manager.
- Help with eventreportinvestigation: interviews, summary, collaboration with others to ensure appropriate follow up of patient safety events, and documentation of event reviews and response, for tracking/trending purposes.
- Participate in the analysis of the ADE/ADR data and identify methods to reduce the frequency of preventable ADEs and medication errors. Help identify current practices that contribute to medication errors and suggest proactive steps for prevention.
- Helps to collect and analyze data reports for the PIC on all safety related activities.
- Abstracts and analyzes data from eventreporting to monitor trends. Pulls reports and gathers data from eventreporting to show process improvement.
- Works directly with IR to establish reports for managers and directors as needed.
- Coordinate the implementation of process and system changes to reduce the likelihood of occurrence and recurrence of medication error.
- Supports the development and implementation of the Medication safety and quality annual goals and targets.
- With help from medication safety manager is able to use data from eventreports to identify opportunities for process improvement.
- Provides staff education regarding risk identification and risk reductions in support of the medication safety manager.
- Assist Medication Safety Manager with follow-ups that are required for med events.
- Help deliver educational sessions for nurses, pharmacists, physicians, and allied health professionals based on reports in the literature, responses to corrective action plans, and recommendations from committee activities.
- Helps coordinate med safety projects from initiation to completion and auditing of new processes put into place.
- Support Quality and Safety Committees: Participate in multi-disciplinary committees relating to medication safety, including but not limited to: Patient Safety Council, Medication Safety Committee, Pharmacy and Therapeutics Committee, Code Blue/RRT Committees and other quality meetings.
- Attend medication safety committee and work closely with nursing in this regard.
- Help with special projects for medication safety such as monitoring of moderate sedation, use of ETCO2 monitoring etc.
- Assist with EHR optimization for safety.
- Assist with lab nursing partnership committee and projects that arise there
- Creates and maintains graphs for medication event, IV pump usage, barcode medication administration compliance data trending, and other medication safety goals
- Supports RCA process
- Understands the Human Factors framework for analysis of events and the TJC framework for RCA and definitions of events requiring RCA.
- Help in the investigation of events for RCA's
- Attend RCA and participate in development of PI plan
- Help with verification that action items from RCA's are documented and implemented in meaningful ways by spending time in clinical care areas soliciting feedback and watching practice in clinical area
- Prepares reports and presentation for executive leadership, the PIC and the hospital Board
- Verification that actions are documented and implemented in meaningful way