Job Description
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.