Position Summary: This position is responsible for the coordination of The Guthrie Clinic’s Patient Safety Organization (PSO). This role will be knowledgeable of each entity's Patient Safety Evaluation System (PSES) for the purpose of collecting, managing, analyzing, and protecting Patient Safety Work Product (PSWP) in order to prevent future patient, staff and organizational harm for the system. In addition, this role is responsible for coordination of Provider Peer Review activities and reports, Resident/Fellow education relative to Patient safety (coordinating Safe Tables) and assistance with completion of Root cause analyses. Education, License, & Cert: • Bachelor's degree in healthcare-related field required, Master's degree preferred; • RN or 5 years clinical experience required; • Certified Professional in Healthcare Risk Management (CPHRM) or Certified Patient Safety Professional (CPPS) preferred. If not already certified, one certification must be obtained within three years. Experience: • A minimum of 5 years healthcare experience. • Experience with data collection, monitoring, risk management, and reporting required. • Ability to comprehend patient safety concepts, including PSO, required. Essential Functions: 1. Assures data integrity and organization of the Patient Safety Evaluation System (PSES) for the purpose of collecting, managing, analyzing, and protecting Patient Safety Work Product (PSWP) for the system. 2. Governs the Patient Safety Organization (PSO) and ensures State and Federal requirements to maintain the PSO are in place to maintain compliance and uphold the PSO. Collaborates with the Alliance for Quality Improvement and Patient Safety (AQIPS). 3. Work in partnership with all Guthrie Clinic entity Patient Safety Program Managers. 4. Conducts patient safety investigations including Root Cause Analysis, Apparent Cause Analysis and Event Debriefs to identify opportunities for improvement throughout the Guthrie Clinic as needed to support the Patient Safety team. 5. Maintains and keeps abreast of updated knowledge of legislative regulatory requirements specific to the Patient Safety’s area of oversight. Collaborates with Senior Director, System Patient Safety and Clinical Risk to analyze any regulatory updates and develop necessary action plans. 6. Identifies trends for areas of opportunity to optimize performance improvement based on collected data within PSO. Facilitates safe tables based on those trends. 7. Maintains the Peer Review system for all Guthrie Clinic entities. 8. Provides education for employees regarding PSO requirements and Patient Safety concepts including but not limited to orientation. 9. Maintains all patient safety policies and ensures they align with best practices. Other Duties: Performs other duties as assigned. update 10-24-23 #LI-BB1