Quality and Patient Safety Specialist

Job Responsibilities 1

Establishes, maintains, supports and documents evidence of an on‑going Quality Improvement and Patient safety program which includes effective mechanisms for monitoring and evaluating care rendered

Ensures compliance with applicable laws and regulations

Ensures compliance with approved policies

Evaluates the results of actions taken by individual Hospital/departments/centres and maximizes the efficient use of resources available

Participates in the planning and development of policies that guide the delivery of Patient care services

Ensures a hospital wide process to measure, assess data, plan change and sustain improvements in quality and patient safety

Provide for staff education on this quality improvement process

Support Quality Improvement and Patient safety Program and implement a structure and process for overall monitoring and co‑ordination

Significant Adverse Events (SAE) Investigation:
Performs and manages system‑wide investigational reviews to determine if event meets the criteria of an SAE

Facilitates the formation and ongoing progress of interdisciplinary Root Cause Analysis (RCAs) and Failure Mode Effects Analysis (FMEAs) events according to The Joint Commission and other regulatory body requirements

Utilizes an evidence‑based approach in case evaluation and proactive educational programs to accomplish patient safety objectives

Prepares and presents patient safety reviews utilizing meaningful written analysis, and data summary reports (charts, graphs, diagrams) to senior leadership and other multidisciplinary meetings

Provides education across the organization to a multitude of disciplines focusing on patient safety science principles and event or departmental specific needs

Collaborates with Office of Licensure, Accreditation and Regulation (OLAR) and Risk Management to comply with MoPH regulatory and licensing requirements and organizational bylaws, rules, regulations and policies and procedures

Participates in the planning and implementation of patient safety events such as the culture of safety survey, patient safety awareness week, the safety fair, etc.

Establishes and maintains uniform, organized filing system and database records. At the direction of management researches, gathers, sorts, compiles and organizes information from the files, from other departments and offices, from outside agencies, etc., for special reports and information requests

Performs clerical duties as needed to include copying, faxing, filing, retrieval, and assuring that material is processed timely and accurately

Performs other duties as assigned. Participates in departmental activities that improve processes and efficiency and reduce waste

Knowledge of JCIA

Critical thinker and problem‑solving skills

Team player

Great interpersonal and communication skills

Strives for Innovation – Proficient

Agility – Proficient

Demonstrates Resilience – Proficient

Cultivates Loyalty & Integrity – Proficient

Demonstrates Accountability – Proficient

Minimum 5 years of experience Quality & Patient safety (required)

Minimum 2 years in GCC (preferred)

Agility

AI Fluency

Workplace Safety L3

Leadership

Communication Strategies L3

Quality

Regulatory Compliance L3

Resilience

Health and Safety Practices L3

Root Cause Analysis & Problem Solving L3

Bachelor's Degree in Science or any related field