Job Description
The Patient Safety/Risk Manager facilitates and conducts the activities associated with the patient safety and clinical risk management program. These key functions include but are not limited to health care risk management and patient safety foundational elements such as safety post review and investigation, investigation in depth, and investigation of case that may require root cause or apparent cause analyses as well as facilitation of root cause and apparent cause analyses and FMEAs. Facilitates projects identified through safety posts, common causes, industry trends or other means and acts as an active participant in committee meetings and develops strong relationships with key leaders (nursing, physician and operational) throughout the health system.
Responsibilities
- Monitors Qatar MOPH and Joint Commission International compliance on an ongoing basis, maintaining a constant state of readiness for survey.
- Ensures that Hospital is in compliance with all regulatory standards, as needed.
- Receives, manages and investigates all assigned safety posts reported across the organization.
- Assesses for accuracy, severity, and trends.
- Works with local leaders of assigned areas as needed. Escalates cases of concern to departmental leadership in timely manner.
- Develops strong, collegial relationships with stakeholders in assigned areas. Provides data and educational information at routine intervals.
- Rounds weekly on assigned areas to field questions from front line staff and validate transmission of shared learnings and previous information downloads.
- Responsible for coordinating and conducting activities associated with all levels of investigation.
- Independently performs RCAs and develops an understanding of proactive risk assessment tools such as the FMEA and all other forms of investigation.
- Identifies deviations in clinical standards of care and patient rights violations which may have patient safety implications and/or risk exposure to the hospital.
- Identifies and escalates significant events through appropriate channels across the health system.
- All investigations and reviews regardless of trigger will be entered in the event tacking log so that department productivity and metrics can be analyzed and trended.
- Conducts Sentinel event investigations in accordance with departmental SOP’s.
- Contributes and participates in patient safety initiatives for assigned areas and within the division which may minimize patient harm and/or improve patient outcomes.
- Assists and contributes to patient safety program development along with peer group, divisional colleagues and Chief Quality Officer.
- Collaborates with others as needed to ensure compliance with project deadlines and/or regulatory requirements.
- Works to maintain or exceed current job expectations and works to meet established department metrics. Is able to provide explanations for variances and identify actions to correct issues, as applicable.