The Senior Patient Safety Specialist provides leadership and expertise in the design and implementation of the

Patient Safety Plan and the daily operations of the Patient Safety and Clinical Risk Program. They utilize knowledge of risk reduction strategies and performance improvement strategies to provide advanced internal consultation and coaching to senior leaders, managers, faculty and staff across the healthcare mission. They use their expertise to evaluate preventable harm and identify and implement practices designed to reduce error, create realiable systems, mitiate risk, and improve patient outcomes. Specific duties include: clinical

reviews of patient safety events; facilitating and managing case reviews, Root Cause Analyses, and Failure

Mode, Effects, and Criticality Analyses; managing the event reporting system, including performing quantitative and qualilitative analyses of the event reports, and analyzing culture of safety survey results. They also provide consultation and support to the continued maturation of the OHSU Quality Management department and OHSU Management System through their work as part of the Safety Oversight Committee.

Event Management

• Manage the event reporting system: read PSIs on daily basis to identify individual harm and system concerns, conduct further analysis and facilitate completion of investigations and action planning as appropriate.
• Share patient safety expertise to coach department leaders to investigate reported events that do not require investigation at a system level.
• Lead and complete Root Cause Analyses, Case Reviews, and Failure Mode Effects and Criticality Analyses to identify systems concerns and identify action planning to mitigate risks.
• Partner with Executive Leaders, Risk Management, and Patient Advocates to review findings from preventable harm event reviews.
• Complete quality review for patient grievances received from the Patient Advocate Office and Insurance and other payors.
• Conduct on-going and focused analyses with patient safety incidents to help identify priorities, improvement opportunities, trends, and improved performance

Program Coordination

• Work with the Patient Safety Program Manager to implement the Patient Safety Plan.
• Serve as the facilitator of assigned projects and priority areas.
• Develop dashboards and reports for Clinical and Hospital Departments, Safety Oversight and OMS committees, Patient Safety Review Committee, and the Administrative Team.
• Extract data for internal/external reporting and provide data and analysis to Clinical and Hospital Departments, and Vizient PSO.

Facilitate and/or lead complex initiatives and systematic changes to meet internal and external quality/safety validation

• Utilize external databases and resources (Vizient, PSO, Oregon Patient Safety Commission, The Joint Commission, DNV) to benchmark performance and identify best/better practices
• Act as the facilitator and/or content experts for projects that require bringing together diverse groups with multiple perspectives to develop a shared understanding of the issues that provide the basis for the identification of system changes.
• Provide support and assistance for the implementation of system changes throughout the organization.
• Continuously contribute to the effectivness of the OMS reporting process
• Stay abreast of new trends and innovations in the leading safety initiatives relevant to OHSU.

Education and Consultation

• Develop, revise and provide education and training on patient safety to faculty, staff and clinical leaders
• Provide expertise in the patient safety principles to support ongoing maturation of a culture of safety and just culture at OHSU
• Present patient safety data and information at department and hospital committee/department meetings and orientations as requested.

Education:

• Bachelor's Degree in Healthcare Related Field
• Master’s Degree or evidence of progression toward an advanced degree.

Experience:

• Minimum 5 years recent clinical healthcare experience in a hospital setting.
• Experience that demonstrates expertise in patient safety concepts and practice including conducting case reviews, root causes analysis and FMECA

Job Related Knowledge, Skills and Abilities (Competencies):

• Excellent knowledge base of patient safety principles and processes and quality improvement processes and tools.
• A proven record of accomplishment of strong leadership skills to ensure that improvement processes stick, priorities established, and performance goals are met.
• Systems knowledge and experience in identifying root causes and developing reliable and safe systems.
• Excellent knowledge understanding of statistical analysis and reporting practices pertinent to stable and high performing systems.
• Evidence of leadership, creativity, initiative and a diplomatic communicator. Ability to effectively work with and communicate with staff in all levels of the organization.
• Expertise in presenting technical reports and leading group discussions with clinicians and administrators
• Evidence within last 2 years of working with teams requiring self-direction and excellent written and verbal communication skills.
• Proficiency in office automation computer software including the Microsoft Office Suite of products.

Education:

• Bachelor of Science in Nursing
• Current Oregon Nursing Licensure
• Certification in Healthcare Quality or Patient Safety

Experience:

• Hospital Acute Care, Critical Care, Surgery, or Medication Management Experience

Job Related Knowledge, Skills and Abilities (Competencies):

• Knowledge and experience in Lean, Human Factors, Simulation, and Project Management.
• Knowledge and experience with program evaluation, qualitative and quantitative analysis, and conductive focus groups.
• Knowledge of Staticial Process Control.

Generally follows Monday - Friday 8:00am - 5:00pm workweek with variability depending on Clinical Department and project needs.

Normal office environment.

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.