Registered Nurse-Patient Safety Outcomes Analyst
Job Objective: A brief overview of the position.
The RN-Patient Safety Outcome Analyst will assist in measuring and analyzing data to improve the culture of safety, quality of patient care, and cost-efficiency for the organization.
Director, Quality Improvement/Patient Safety Officer
Ages of Patients
Blood Borne Pathogens
Minimal/ No Potential
Required: BSN or MSN or enrollment in an RN-BSN or RN-MSN program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012
Required: Healthcare Quality Certification (CPHQ) or Certified Professional in Patient Safety (CPPS),or related certification and California RN license
Required: Two years’ experience in patient safety, performance/quality improvement activities and two years’ experience as a registered nurse.
- Performs other duties as assigned.
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Participates in regulatory body surveys (e.g. Joint Commission, California Department of Public Health) and assist in monitoring of action items as requested.
Coordinates the organization-wide Culture of Safety survey
Assists with TJC continuous readiness process by providing structure and process to organization stakeholders.
Assures accreditation survey reference-documentation binders are updated routinely.
Coordinates follow up of incident reports to facilitate follow up and identify trends.
Facilitates projects that support TJC readiness (e.g. Sentinel Event Alert Gap Analysis/ Action Plan Teams, Proactive Team Assessments and Mock Survey Response Teams).
Researches current findings of best practice and provide this information to appropriate clinical performance improvement teams.
Acts as facilitator and minute keeper for PI teams as required.
Analyzes, disseminates, and presents hospital outcomes data using statistical tools (i.e. process control charts, descriptive statistics, etc.) in an appropriate manner, as requested.
Prepares reports illustrating quality measures, data and recommendations.
Implements tracking systems to measure the effectiveness of interventions.
Communicates with team members and participates in appropriate committees to report process-outcome information.
Provides education to customers regarding process-outcomes data, specific data elements and other issues as identified.
Supports Root Cause Analysis process and database
Documents conclusions, recommendations and actions of Root Cause Analysis Meetings and distribute to appropriate individuals for follow up as requested.
Assists with projects supporting the Quality Department (e.g. identification of clinical financial-process measures to improve clinical outcomes and cost-efficiency, cost analysis based on research and financial data).
Assists with Quality Council agenda, minutes, follow-up, and related reports for medical committees and Board of Director, as directed.
Acts as a quality improvement leader and is a resource to the hospital, and the medical staff regarding TJC, CMS, and Title 22 standards.
Supports Medical Staff Quality Improvement/Peer Review Committees as appropriate
May be responsible for core measure abstraction
May assume coordinator responsibilities for the Sepsis core measure
May act as an assistant to the Infection Preventionists