Patient Safety Consultant (RN), Full Time Days

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This is a Stanford Health Care Tri-Valley job.

Job Summary

The Patient Safety Consultant is responsible for the management of the hospitals incident/event reporting system, including staff and manager education, and for conducting intensive investigation or root cause analysis related to the delivery of safe and efficient patient care. The Patient Safety Consultant is responsible for facilitating management follow ups and assuring for comprehensiveness of corrective actions. This position works collaboratively with the Risk Management Department, Patient Safety and Accreditation Department, Quality Department, Medical Staff Office Department, and other affected department leaders and staff to investigate significant and sentinel events and to coordinate the root cause analysis process.

The Patient Safety Consultant is a role that performs a range of functions that support the delivery of safe and effective patient care, the reduction of medical/health care errors and other factors that contribute to unintended adverse patient outcomes, improvement of the facility-wide patient safety program, and to ensure timely reporting of and follow-up/corrective  action is taken in response to such events/incidents in accordance with the requirements of hospital policies, the Joint Commission, and other external regulatory and accrediting bodies. The Patient Safety Consultant must possess the ability to perform extensive clinical investigations and root cause analysis of significant and sentinel events in order to assess potential liability and identify opportunities to improve patient safety.

This position coordinates data management for reporting unit level, department level and organizational level data. The Patient Safety Consultant implements systems and processes for effective data collation and ensures comprehensive analysis for identifying trends. This position designs/enhances data management tools to provide effective and user-friendly systems for data tracking.

Essential Functions

The essential functions listed below are general examples and not a description of comprehensive duties. Specific duties and responsibilities may vary depending on department or program needs without changing nature or scope of this position or level of responsibility. May be asked to perform other duties as assigned.

• Analyzes, summarizes, and reports on patient safety activity to hospital and department management. Develops and maintains an ongoing mechanism for monitoring action plans and deficiencies and a proactive process for areas at risk with monthly reporting to the hospital’s committee structure. Develops mechanisms for communication of patient safety related information across the hospital and clinics. Disseminates information regarding and promotes use of “best practices” and process improvements in patient safety.

• Manages the occurrence/event reporting system across the organization and ensures the integrity of data.

• Provides staff and management education on use of the incident reporting system. This maybe in a large group (50 or more) pre-scheduled or individual one-to -one Just -In-Time training sessions.

• Actively promotes the use of the organization’s incident reporting system by physicians, nurses, and other healthcare providers for reporting adverse patient events.

• Co-designs and implements ongoing in- service educational presentations that facilitate the understanding and implementation of patient standards within the hospital and clinics.

• Recommends and facilitates change with the hospital in collaboration with Risk Management, Quality, and operational managers/directors to continuously improve patient safety and outcomes of care, based on identified risks.

• Participates in the development of innovative approaches to establishment, enhancement, modification, and/or improvements in a variety of programs related to patient safety.

• Collaborates with others to develop or revise policies and procedures pertaining to patient safety.

• Identifies barriers to the implementation of patient safety programs, recommends, and implements corrective measures, and develops and implements improvements to the organization’s patient safety program.

• Recommends specific actions to eliminate or mitigate the risk of patient harm.

• Reviews all patient incident/event reports and conducts investigations in cooperation with the Risk Management Department for reported events and patient safety issues, including medical record reviews, interviews, equipment investigations and reporting to external agencies.

• Participates in and co-leads the review of significant adverse events to gain an understanding of the processes for Root Cause Analysis (RCA). Establishes processes to ensure that comprehensive review of events are timely and that information is sufficient for hospital leadership to make a determination regarding regulatory reporting.

• Reviews all patient safety and environment of care standards. Conducts analyses to include trend, pattern, and other statistically valid techniques to assist in focusing program attention and efforts. Makes recommendations based on findings.

• Routinely monitors all elements of the occurrence/event reporting systems software, including system dictionaries, user securities, software updates, and interface data transaction and reports.

• Co-leads patient safety FMEA project at least every 18 months.

• Serves as a member of the Joint Quality Committee and Patient Safety Committee.

• Serves as a resource for patient care departments and clinics on issues of patient safety and provides patient safety consultation for inquiries from physicians, nurses, or other healthcare practitioners.

• Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford Healthcare Tri-Valley’s patient-experience and represents a framework for patient-centered interactions

Job Qualifications

Education   

• Bachelor's degree in a work-related discipline/field from an accredited college or university

Experience

• Three (3) years of progressively responsible and directly related work experience

License/Certifications

• CA Registered Nurse (RN) required

• Certified Professional in Patient Safety (CPPS) required within 2 years of hire.

Knowledge, Skills, and Abilities

• Ability to collect and record data, evaluate data and statistics, and maintain effective
  reporting systems

• Ability to communicate effectively, both orally and in writing

• Ability to foster effective working relationships and build consensus

• Ability to manage, organize, prioritize, multi -task and adapt to changing priorities

• Ability to mediate and resolve complex problems and issues

• Ability to plan, organize, prioritize, work independently, and meet deadlines

• Ability to provide leadership and influence others and effectively consult, advise, and instruct management and staff regarding appropriate approaches for dealing with difficult patient issues

• Knowledge of basic research and investigation techniques with an ability to interpret data, prepare reports, and ability to propose solutions to difficult situations involved in a potential or actual patient injury

• Knowledge of computer systems and software used in functional area

• Knowledge of medical terminology and related levels of care and treatment

• Knowledge of risk management and quality improvement principles and issues regarding patient safety

• Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation

• Knowledge of the current theories, principles, practices, and standards of, as well as emerging technologies, techniques, issues, and approaches in clinical practice

• Knowledge of the variables that affect the processes and outcomes of patient healthcare

• Knowledge of and ability to apply performance improvement methodologies and tools to projects (e.g., Lean, Six Sigma, proactive risk assessments, and Root Cause Analysis).

Physical Demand and Working Conditions

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
 

Equal Opportunity Employer

Equal Opportunity Employer Stanford Health Care Tri-Valley (SHC TV) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.