Patient Safety Officer
Asheville, NC - USA
Job Summary
JOB SUMMARY:
The Patient Safety Officer serves as the organizations primary resource for patient safety program development implementation and sustainment across all MAHEC clinical departments. This roleis responsible forbuilding andmaintaininga culture of safety through systematic event reporting trend analysis and improvement/cultural initiatives.
Working collaboratively with clinical leadership risk management and front-line staff the Patient Safety Officerfacilitatesroot cause analyses develops corrective action plans and ensures lessons learned aredisseminatedacross the organization. This position plays a critical role in establishing MAHEC as an organization committed to the pursuit of zero harm.
The ideal candidate combines healthcare quality improvementexpertisewith strong analytical skills systems thinking and the ability to engage staff at all levels in safety improvement work. This role requires someone who can build trust foster psychological safety for reporting and translate complex safety science concepts into practical workflows.
SPECIFIC RESPONSIBILITIES:
Event Reporting & Analysis
Reviews and prioritizes patient-safety events each day ensuringtimelytriage of all incidents assigned by Risk Management
Facilitates root cause analyses (RCAs) for serious harm events at the direction of the Medical Review Committee near-misses with high severity potential and recurrent event patterns
Provides consultation to assigned task owners on patient safety event follow-up for lower-severity safety events
Utilizes the patient safety platform tracking system tomonitorcompletion and effectiveness of corrective actions
Safety Program Development
Reviewsdevelopsandmaintainspatient safety policies procedures and standard work documents
Conducts proactive risk assessments using FMEA (Failure Modes and Effects Analysis)methodologyfor high-risk processes
Coordinates recall management for medications clinical supplies and equipment in collaboration with Pharmacy clinical operations and Risk Management
Data Analysis & Reporting
Analyzes safety event data toidentifytrends patterns and systemic vulnerabilities
Prepares safety reports for the Chief Medical Officer (CMO) Executive Safety Committee and Quality & Safety Committee
Tracks and reports patient safety program performance metrics
Culture & Training
Promotes a Just Culture approach that balances learning withappropriate accountability
Develops and delivers patient safety training for staff including new employee orientation content as needed
Trains front-line leaders on patient safety event follow-upmethodologyand human factors principles
Develops anddisseminatescommunication highlighting patient-safety learnings to promote organizational awareness
Supports implementation of safety communication tools including huddles & safety briefs
Committee Support
Serves as primary staff support for a Patient Safety Committee and the Executive Safety Committee
Reports RCA statuses and action items to Medical Review Committee (MRC); coordinates with MRC to support completion and hold process owners accountable
Serves as liaison between clinical departments and quality functions on safety matters
Actively embraces and supports organizational quality initiatives
This role description is a general description of the essential job functions.It is not intended to describe all the duties that may be performed in this role.
KEY COMPETENCIES:
Systems Thinking
Understanding how processes people and technology interact to create safety vulnerabilities or strengths. Ability toidentifyroot causes rather than surface symptoms recognize unintended consequences of changes and design system-level solutions that make it easy to do the right thing and hard to do the wrong thing.
Analytical Capability
Proficiencyin collecting analyzing and interpreting safety data toidentifytrends and patterns. Ability to translate complex data into clear actionable insights for diverse audiences.Usesstatistical process control concepts to distinguish signal from noise.
Collaboration & Influence
Building trust and credibility with clinical staff leaders and physicians. Ability to influence without direct authorityfacilitatedifficult conversations and bring diverse stakeholders together around sharedsafety goals. Creates psychological safety that encourages honest reporting and open discussion of errors.
Healthcare Knowledge
Understanding ofclinical workflows healthcare regulations and patient safety science. Stays current on evidence-based practices emerging safety risks and regulatory requirements. Applies knowledge of human factors engineering resilience engineering and high reliability principles to practical safety improvement.
Integrity & Accountability
Demonstrates high ethical standards in handling sensitive safety information. Maintains confidentiality while promoting transparency and learning. Follows through on commitments and holds self and others accountable for safety performance without blame.
SPECIFIED SKILLS
COMPUTER
Proficiencyin Microsoft Office Suite including Excel (data analysis pivot tables) PowerPoint (presentations) and Word
Experience with electronic health record systems preferred
Experience with incident reporting and risk management software systems
Proficiencyin Microsoft Visio or other flow mapping software
FOREIGN LANGUAGE
Spanish speaking skills preferred
TECHNICAL SKILLS
Proficiencyin root cause analysis (RCA) and failure modes and effects analysis (FMEA) methodologies
Knowledge of quality improvement methods including PDSA cycles Lean and Six Sigma
Understanding of human factors engineering principles and their application to healthcare
Familiarity with patient safety culture frameworks
PHYSICAL DEMANDS
Light energy level. Primarily sedentary work with occasional walking to clinical sites for rounds training and patient safety event follow-up. Ability to travel between MAHEC locations as needed.
SUPERVISORY RESPONSIBILITIES:
No direct reports
Providesfunctional guidance to front-line leaders and Practice Administrators conducting patient safety event follow-up
May coordinate work of student interns or project-specific team members
EDUCATION AND EXPERIENCE
MINIMUM QUALIFICATIONS:
Bachelors degree in Nursing(BSN) Healthcare Administration Public Health Health Sciences or related field
Three (3) years of experience in healthcare setting
Two (2) years of experience in quality improvement patient safety risk management or related function
Demonstrated experience conducting root cause analyses or similar structured safety reviews
Experience with data analysis and performance reporting
PREFERRED QUALIFICATIONS:
Masters degree in Public Health(MPH) Healthcare Administration (MHA) Nursing (MSN) or related field
Experience in ambulatory outpatient primary care or FQHC/community health center settings
Clinical licensure (RN LPN or other healthcare license)
Certified Professional in Patient Safety (CPPS) Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Human Factors in Health Care (CPHFH)
Lean Six Sigma Green Belt or equivalent process improvement certification
Experience with Team STEPPS IHI Just Culture or High Reliability Organization frameworks
REQUIRED LICENSES
None
Clinical licensure or patient safety certification (CPPS CPHQ CPHFH) strongly preferred
SCHEDULE:
Regular attendance on-site is an essential function of this position. Typical business hours are Monday Friday 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division);40 hoursper workweek; weekend holiday or evening coverage is occasionally. Work hours will need to be flexiblein order torespond to special work assignments or evening activities as requested by the team leader.
On-call availability may befor serious safety events requiring immediate response
Regional travel to MAHEC satellite locations
POSITION COMPENSATION:
Full-time position with full benefits available. Salary position $78000.
At MAHEC we strive to equip all team members with Total Rewards (pay benefits) to honor their service support their health manage their financial security build their career and thrive.
MAHEC does not provide employment-based US visa sponsorship now or in the future. All new employees must provide valid original I-9 documents on their first day of work. All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.
MAHEC Talent Management is located at 121 Hendersonville Road Asheville NC 28803. Equal Opportunity Employer.
MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.
If you are interested in this role and you have related experience and qualifications we encourage you to apply or reach out to for support in your job search process. You could be the talent we are seeking for this or other opportunities.
Required Experience:
Unclear Seniority