Patient Safety Officer

Patient Safety Audit Management & Implementation  

• Maintains the effective and efficient execution of his/her tasks and responsibilities by ensuring consistent compliance with existing protocols, guidelines, processes, procedures, standards, etc. of the division, department, unit, and hospital. 
• Coordinates with the Patient Safety Manager in the development, implementation, and oversight of an effective Patient Safety Inspection and Audit that operates in compliance with established policies and procedures, and relevant regulatory requirements and industry standards. 
• Maintains current and appropriate knowledge on the existing patient safety policies and procedures developed and implemented in different areas of Chong Hua Hospital necessary to perform the internal audit function. 
• Conducts research on specific industry standards’ best practices and provides recommended action plans in its effective implementation across the organization.  
• Collaborates with Patient Safety officer and manager in the generation of the patient safety audit checklists based on the established hospital policies, procedures, and per unit established work instructions. 
• Assists the Patient Safety Officer in the development of the Patient Safety audit plan and work schedule. 
• Performs a standard closeout meeting with the audited staff and leaders every after an audit is conducted to discuss findings, raise concerns, and address urgent issues found during the audit.  
• Collates patient safety audit results and provides a copy to the Patient Safety Officer and Patient Safety Manager. 
• Discusses all patient safety audit results and issues or concerns encountered during the audit to the Patient Safety Manager for guidance and review. 
• Provides timely and accurate feedback on any major and minor non-conformity in the established standards, policies, and procedures to the concerned department manager or leader. 
• Conducts patient safety audit report out to all affected departments and issue a corrective action request forms to all departments with non-compliance or observations that needs corrective action. 
• Provides recommendations in creation of tools and documentations, e.g., work instructions, department manual, etc. that will validate compliance with the standards set.  
• Collaborates with the management and staff on the monitoring of identified quality indicators as well as on the result of the data analysis, action plans and recommendations. 
• Collates raw quality indicator data from the assigned quality indicator(s) and provides feedback from time to time to the immediate superior for any issues encountered.  
• Monitors progress of the corrective action request form(s) provided to the concerned departments and review if corrective action(s) is/are effective. 

Analysis of Quality Data 

• Responsible for generating report in graphical presentation based on the data collected; such data are classified as the Hospital’s priorities in terms of quality: (1) Required Clinical Monitors, (2) Required Administrative Monitors, (3) IPSG Monitors. 
• Analyzes all collated data in the assigned quality indicator(s) and provides recommendations if necessary.  
• Applies data sampling and analysis techniques to auditing activities, including where appropriate statistical methodologies. 
• Reviews and analyzes internal quality standards and compliance audit results and provides recommendations to improve compliance of the established standards, policies, and procedures. 
• Independently, and in a unique and complex situation, applies appropriate basic and advance problem-solving tools and techniques. 
• Develops data collection tools to meet project goals and enhance data quality. 
• Manages data standardization and data integrity by ensuring accuracy, completeness, consistency, validity and timeliness of all patient safety data. 
• May be assigned in a project that aims to improve specific areas working independently or with a cross-functional team. May be tasked to make necessary recommendations on performance of team members or cross-functional team member.  

 Analysis and Recommendations 

• Provides analyses on processes, policies and procedures based on research or gathered data.
• Participates in the creation of or recommends updates and changes in the policies and procedures to continuously improve the quality of service in the unit/area.
• Responsible for generating report in graphical presentation based on the data collected; such data are classified as the Hospital’s priorities in terms of quality: (1) Required Clinical Monitors, (2) Required Administrative Monitors, (3) IPSG Monitors. 
• Analyzes all collated data in the assigned quality indicator(s) and provides recommendations if necessary. 
• Applies data sampling and analysis techniques to auditing activities, including where appropriate statistical methodologies. 
• Reviews and analyzes internal quality standards and compliance audit results and provides recommendations to improve compliance of the established standards, policies, and procedures. 
• Independently, and in a unique and complex situation, applies appropriate basic and advance problem-solving tools and techniques. 
• Develops data collection tools to meet project goals and enhance data quality. 
• Manages data standardization and data integrity by ensuring accuracy, completeness, consistency, validity and timeliness of all patient safety data.