Patient Safety Manager

The Patient Safety Manager provides leadership for the patient safety and clinical risk managment programs

and works with OHSU Healthcare leadership to support patient safety activities across the organization. They work with others within the facility towards a systematic implementation of effective practices designedto reduce error create reliable systems identify improvement opportunities mitiate risk and improvepatient outcomes.

The Patient Safety Manager provides leadership and direction for the clinical safety program safetycomponents of OHSUs Quality Management Strategic Plan and effectiveness of the OHSU ManagementSystem (OMS) reporting.

The Patient Safety Program Manager educates clinical and hospital staff on system-based design and error prevention provides safety consultation to management and staff disseminates best practices and safety information to others and acts as a change agent to support the implementation of effective patient safety strategies within the organization. They oversee the administration of our periodic Culture of Safety Survey and coordinates the subsequentaction plans in collaboration with the executive team

Safety Program Leadership

• Provides leadership to OHSU Healthcare on activities that promote patient safety.
• Oversees the design and implementation of the Patient Safety Program. Annually evaluates the effectiveness of the Patient Safety Program.
• Promotes a culture of safety through education specific improvement activities and periodic evaluation and assessment.
• Works closely with the VP of Quality Safety & Improvement Manager of Clinical Quality and the OMS committees to provide the requiredoversight.
• Directs the work and provides supervision of the Patient Safety team.
• Provides clinical risk management/patient safety leadership in assessing the safety of new equipment and technology clinical risk managementand medication safety by organizing/staffing the Patient Safety ReviewCommittee.
• Ensures patient safety team representation on the Medication Safety Committee Infection Prevention & Control Committee and the ValueAnalysis Committee.
• Serves as the organizational liaison to the Oregon Patient Safety Commission and our Patient Safety Organization.
• Provides leadership with our event reporting system. Assures the review of submittals; assures timely investigation and response; identifiescritical events for further analysis/action; assures timely aggregatereporting; and uses the PSI data to identify trends and areas forimprovement.
• Provides leadership in the use of patient safety/risk management tools within the organization including case reviews and critical analysis tools
• Coordinates and assures timely completion of root cause analyses and action plans for all sentinel events.
• Works with senior leadership nursing the medical staff and other clinical departments to implement promote and maintain a just culture.
• Maintains a positive collaborative and accountable relationship with the various OHSU departments including Quality Management RegulatoryAffairs Infection Control Risk Management Nursing ClinicalDepartments Pharmacy and Patient Relations.
• Provides leadership for implementation of the CMS Patient Safety Structural Measure and completes the yearly required reporting

Advisor and contributor to the development and execution of the qualitymanagement strategy and the overall system quality goals.

• Serves as expert resource to employees department/program directors medical staff and Hospital and Clinics on issues policies and proceduresrelated to patient safety/risk management.
• Engages coaches and supports others to help create an environment where all take initiative use their skills to solve problems and innovate.
• Promotes skill and confidence building to support others to simplify complexity improve patient care and bring more joy and fulfillment intoour work.
• Serves as an internal expert resource in safety science and continuous performance improvement and provides on-going training in the keyprinciples of systems thinking teamwork and customer service.
• Provides expertise to leaders

Program Implementation

• Recommends and facilitates change within the organization to improve patient safety based on identified risk and recommendations frominternal and external sources.
• Communicates patient safety-related information within the organization including the Administrative Team the OHSU Management System the Professional Board and the UHS Board.
• Develops reviews and revises policies and procedures related to patient safety/clinical risk management.
• Coordinates and assures the organizations compliance with regulatory safety requirements.
• Works closely with the Patient Safety Review Committee CMO CNE and VP of Quality Safety & Improvement to evaluate and review all serious patient safety events.
• Reports to the appropriate oversight bodies the root cause analyses action plans and progress with action plan completion for all sentinel events.
• Works with the Risk Management and the Patient Advocate Office in investigating reviewing and performing follow-up work on all potentially compensable events (PCEs).
• Collaborates with other departments to achieve a coordinated effort in responding to medical device recalls alerts and mandatory reporting of adverse events involving equipment and supplies.

Other Duties as Assigned

• Masters degree or higher in health-related field or equivalent experience and training.
• Three to five years of patient safety quality management or clinical risk management experience.
• Three to five years of inpatient and/or ambulatory clinical experience.
• Previous leadership management or program management experience

Job Related Knowledge Skillsand Abilities (Competencies):

• Knowledge of risk management principles and methods related to patient safety.
• Knowledge and skills in root cause analysis robust system design and FMECA
• Knowledge and skills in human factors and error prevention strategies and design.
• Knowledge and skills in change management.
• Knowledge and skills in the use of performance improvement tools and techniques.
• Knowledge understanding and skills in data collection analysis and display.
• Knowledge of healthcare rules and regulations.
• Evidence of excellent verbal and written communication skills.
• Ability to work with a high degree of independence.
• Management principles tools and techniques with proven program leadership skills in large scale performance improvement projects
• Knows how to build highly functioning teams
• Knows how to inspire and lead in a highly matrixed environment
• Models integrity respect teamwork
• Understands strategic planning
• Exceptional verbal and written communication skills
• Creates effective/efficient systems and processes
• Decision making consistent with fiscal stewardship principles

• Experience in implementation of system changes across a complex organization

Generally 8-5 M-F work schedule but hours fluctuate significantly depending on need and may include weekends and variable shift hours. Possible weekend call coverage for clinical risk management.