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Director of Patient Safety

Company: Nemours
Location: Wilmington
Posted on: September 24, 2022

Job Description:

Nemours is seeking a Director of Patient Safety to join our team in Wilmington, DE!
The Director of Patient Safety provides leadership and direction in design, development, and implementation of a comprehensive patient safety program and manages the core institutional resources devoted to improving safety and achieving our vision of becoming the safest hospital.

Primary Functions

  • Directly responsible for systems designed to support harm reduction, event detection, event review and corrective action planning as well as proactive mitigation of potential errors.
    • In collaboration with Nemours Children's Health, Delaware Valley operation and clinical leadership and Quality and Safety program leadership, participate in setting and implementing the annual strategic priorities to improve safety and eliminate preventable harm.
      • In conjunction with the Q/S program leadership, develop and enhance organizational bench strength by building capability and capacity throughout the organization tiers (frontline to governing body) by leveraging high reliability principles.
        • Support Nemours Children's Health, Delaware Valley leadership in achieving a strong safety culture characterized by a reporting culture, a fair and just culture, a learning culture, and a resilient culture characterized by effective teamwork. Responsible for ongoing measurement of safety culture.
          • Directly supervise Patient Safety staff and work in close coordination with the Medication Safety Officer, other Q/S staff involved in harm prevention initiatives. Lead the patient safety team in event review, guide cause analysis including facilitating Root Cause Analyses, support Apparent Cause Analyses, ensure periodic completion of Common Cause Analysis.
            • In conjunction with the manager of Continuous Regulatory Readiness, provide oversight to ensure national benchmarks and regulatory requirements related to safety are achieved and maintained.
              • Collaborate with the CQSO, Q/S staff, and leaders across the Nemours Children's Health, Delaware Valley to ensure coordination of patient safety, quality improvement and regulatory readiness activities.
                • Collaborate with Risk Management to support consistent reporting of safety events, event analysis, and mitigation strategies in a way that fuels improvement and manages risks effectively.
                  • Collaborate with employee/staff safety team to align harm reduction initiatives focused on patients with those oriented to avoiding employee/staff injuries.
                    • Collaborate with CSQO, human resources, learning services, marketing and communication on ongoing education and communication strategies across Nemours Children's Health, Delaware Valley, including learnings from safety events.
                      • Serve as liaison/represent the Q/S program and Patient Safety on a variety of internal & external committees, huddles, task forces & initiatives.
                        • Maintain awareness of new developments in Patient Safety
                          • Collaborate with leaders at all levels to accelerate centrally led harm reduction efforts for implementation across and within clinical units.
                            • In conjunction with CQSO, oversee the implementation and on-going support of Safety strategies such as Leadership Methods, Patient-Family Engagement and Error-Prevention behaviors.
                              Essential Functions:
                              • In coordination with the co-chair/s of the Patient Safety Committee, ensure the committee achieves its purpose as defined in the charter, has a committed membership, celebrates successes, escalates barriers, monitors appropriate metrics, and solves problems.
                                • Lead the Patient Safety Event review meetings
                                  • Collaborate with the Director of Analytics to ensure appropriate patient safety data input into and downloaded from external registries/collaboratives/PSO's relative to patient safety events, HAC's
                                    • Oversee the work of the Patient Safety Managers and the daily management of patient safety events
                                      • Collaborate with Risk Management to operate a system to evaluate safety events and to prepare corrective action plans based on formal root cause analysis as appropriate.
                                        • Facilitate Root Cause Analyses for all SSE's and other events as appropriate.
                                        • Track progress of RCA's and corrective action plans.
                                          • Support the spread and utilization of Apparent Cause Analysis in local areas, including identification of contributing causes using standardized taxonomy, development and tracking of action plans
                                            • Conduct period common causes analysis and development of action plans
                                              • In collaboration with Analytics, maintain an inventory of events and corrective action plans that allows monitoring of progress in prevention.
                                                • Collaborate with Risk Management, Committee on Professional Enhancement, and Peer Support regarding patient safety events as appropriate
                                                  • Collaborate with IT, Analytics group, to establish mechanisms for: online event and error reporting; electronic management of the event review and mitigation process; and data analysis to provide actionable and understandable clinical safety information.
                                                  • Provide guidance and support to the Analytics team to maintain metrics of safety such as serious safety event rate, medication safety event rates, and precursor events.
                                                    • Provide guidance and expertise to the Analytics team to ensure they effectively coordinate and provide patient safety data support for medical and administrative leadership groups.
                                                      • In conjunction with the CQSO, identify trends and patterns from the data; engage key stakeholders to discuss recommendations for tests of change and course correction.
                                                        • Participate in daily operational huddles such Daily Safety and Operational Briefing on a regular basis.
                                                          • Contribute to a fair and just culture through conduct of analyses to identify individual and system failure modes.
                                                            • Support communication with the Board of Managers regarding Patient Safety, including participation in preparation of the quarterly Board of Managers Report
                                                              • Serve on committees (such as Continuous Regulatory Readiness, Medication Safety, Quality of care)
                                                                • In conjunction with the CQSO, develop and participate Executive patient safety walk rounds.
                                                                  • In conjunction with the CQSO, provide guidance and expertise to the Analytics team to maintain and enhance dashboard for key safety measures (e.g. Patient safety goals; safety event rates).
                                                                    • In collaboration with the Manager of Continuous Regulatory Readiness, ensure compliance with event reporting requirements and provide direction for regulatory and accreditation activities related to safety event management.
                                                                      • Provide internal expertise, education and advocacy.
                                                                        • Utilize and disseminate patient safety science and the tools of improvement science
                                                                          • Promote data-driven decision making to establish organizational priorities in patient safety.
                                                                            • Serve as internal advocate for staff, patients, and families on issues of patient safety.
                                                                              • Develop educational content and delivery format for patient safety and clinical effectiveness for staff, patients and families.
                                                                                • Create and coordinate appropriate recognition for successful improvements in safety.
                                                                                  • Serve as institutional liaison on matters of patient safety.
                                                                                    • In conjunction with the CQSO, promote Nemours role as a national leader in Patient Safety through conference presentations and publications and oversee the portfolio of work
                                                                                      • Manage financial and administrative responsibilities for patient safety program
                                                                                        Job Requirements:
                                                                                        • Master's Degree in health related field or MBA. This requirement can be offset with 5 of more years of experience in a similar role.
                                                                                          • Formal training in patient safety, can be offset with 3 or more years experience in a patient safety role in a health care delivery system
                                                                                            • Working knowledge of hospital practices and protocols as well as applicable regulations and guidelines.
                                                                                              • Demonstrated interest and track record of participation (and preferably leadership) in patient safety in a complex academic medical center.
                                                                                                • Certification as a certified professional in patient safety (eg CPPS) strongly preferred

Keywords: Nemours, Wilmington , Director of Patient Safety, Executive , Wilmington, Delaware

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