Reporting to the Director Quality & Safety, the Patient Safety Manager (PSM) works collaboratively with all departments within Prince George's Hospital Center, Laurel Regional Hospital & Bowie Health Center to develop and implement patient safety programs. Completes Root Cause Analyses (RCA) for adverse events that include the completion of and follow up with associated action plans to decrease the frequency of occurrences. The PSM is responsible for performance improvement projects associated with patient safety standards required by regulators.
Collaborate regularly with the Risk Management Department to identify high risk events from the electronic adverse event database which compromises safe patient care
Analyze adverse events to determine if they meet the criteria for public reporting to the Maryland Office of Health Care Quality (OHCQ) or other regulatory entity
Review potential reportable adverse events with supervisor, Director of Quality and Safety, and other key hospital leaders to agree upon events to be reported
Actively communicate with key stakeholders within PGHC, Laurel Regional Health and Bowie Health Center who have staff involved in or affected by the adverse event to assist in the selection of participants and other preparations for the RCA. Communication about the event should occur face-to-face or by phone and then in written correspondence
Coordinate and facilitate RCA's and action plans using previously agreed upon templates for all reported events and complete documentation within the required regulatory timeframe
Monitor timely completion of action plans submitted for all RCA's and report progress at least quarterly at the hospital leadership meetings to include but not limited to Quality & Performance Improvement Council (QPIC) and other leadership forums as needed
Identify, analyze, and interpret trends or patterns of adverse events and recommend interventions to supervisor and hospital leadership
Complete various quality projects associated with regulatory standards which affect patient safety, e.g., effective and efficient use of Rapid Response Teams, Code Blue events, and others which affect patient safety. This would involve project management which includes coordinating and documenting meetings and follow-up, as needed
Complete time-lines for payer complaints and collaborate with the patient advocate related to response and follow-up with complaints.
Prioritize work assignments and manage time effectively to complete duties; assess, adapt and calmly respond to changing and/or crisis environment; and make independent decisions consistent with current policies, procedures and standards
Other duties as assigned by the supervisor.
Bachelor's Degree in health care management, nursing or related equivalent field required.
Completed Course Work/Program: At least three years in a hospital-healthcare setting w/proven clinical experience.with proven experience to lead safety programs , projects and patient safety committees.
Experience (years): Required: 3 5 years Preferred: Experience (describe required): Experience in quality management with a healthcare background or quality experience preferred. . Demonstrate knowledge of analysis methodology; and project and work planning.
Dimensions Health Care