•Oversees the creation, review and refinement of the scope of the Patient Safety Program within the facility on an annual basis.
•Collaborates with Quality Department in meeting Joint Commission and other regulatory agency requirements.
•Coordinates the activities of the Patient Safety Committee including public reportable clinical data sets.
•Serves as liaison between CNO/CEO and Safety Committee.
•Reports medical errors and near misses, as well as corrective actions taken.
•Oversees the management and use of medical error information.
•Reviews internal error reports and utilizes information from external reporting programs to achieve internal outcomes.
•Investigates (along with Risk Management) patient safety issues within the facility.
•In collaboration with Quality/Risk Management, identifies, manages, and participates in the review of adverse events that may have or have resulted in patient harm.
•Participates in sentinel event process.
•Develops action plans identified through root cause analysis.
•Other duties as assigned.
•Bachelor's Degreerequired. Master's Degreepreferred.
•Current state licensure as Registered Nurse (RN) preferred.
•Certification in Health Care Quality (CPHQ) preferred.
Complexity of Work:
•Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
•Must be able to work in a stressful environment and take appropriate action.
•In depth knowledge of health care delivery systems.
•Demonstrated knowledge in principles of risk management, quality and performance improvement methods.
•Minimum five years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program.
•Minimum two years supervisory experience preferred.
•Successful implementation of Performance Improvement/Quality Management and Joint Commission programs.
Personal Protective Equipment:
•Follows standard precautions using personal protective equipment as required.
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.