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Director Patient Safety - Penn Medicine Princeton Health

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Job ID: 159851
Category: Management/Leadership
Work Type: FT
Location: Plainsboro, NJ, United States
Date Posted: Nov 29, 2022
Work Schedule: Days

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Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?


  • The Director, Patient Safety reports to the Vice President and Chief Medical Officer (CMO) and works in partnership with the Director, Clinical Effectiveness and Quality Improvement and PMPH Patient Safety Officer and is responsible for developing, leading, and building an organization-wide world-class patient safety program placing the entity at the forefront of patient safety. Additional responsibilities include regulatory compliance, coordination of related data collection, analysis and reporting related to patient safety; collaboration with professionals both at the entity and system level to identify and implement patient safety improvement initiatives to achieve departmental and organizational strategic goals. The Director of Patient Safety relies on extensive experience and judgment to plan and accomplish goals. The Director of Patient Safety will work directly with the Director of Quality, the Senior Leadership team and Medical Staff leadership to lead the organization to outstanding performance on key metrics in quality and patient safety.


  • Support the operations of the PMPH Process Improvement department
  • Responsible for the developing, building, and leading an organization-wide world-class patient safety program placing the entity at the forefront of patient safety
  • Partners with Department and Executive Leaders; key teammate with the CMO, Director of Quality, and the entity Patient Safety Officers in engaging executive, entity and clinical leadership to foster a culture of safety and improve patient outcomes.
  • Serve as entity lead for HRO efforts related to patient safety (e.g. Culture of Safety survey)
  • Responsible for leading and championing continuous process improvement via the application of patient safety science at the entity; supports learning, development, teaching/training, and maintenance of processes necessary to integrate clinical performance activities at PMPH.
  • Lead and collaborate in the implementation of the hospital's patient safety plan, to eliminate medical errors through timely reporting, early identification of systems defects and implementation of solutions that promote patient safety.
  • Serves as entity administrator of Midas, Penn Medicine’s event reporting system, by routing event reports and onboarding of PMPH staff and providers, as needed.
  • Reviews reports for trends that may require action, including reports that monitor manager and director event management and follow up. Serves as PMPH “watchdog”, ensuring appropriate assignment of harm score and event management routing.
  • Leads serious event management processes and their outcomes, including root cause analyses (RCAs), in conjunction with the PMPH Director of Patient Safety, Quality and Risk and PMPH Patient Safety Officer to ensure thorough and efficient event evaluation and institutional response, including necessary internal and external reporting (New Jersey Department of Health and The Joint Commission).
  • Collaborate with the Patient Safety Committee in its oversight of the PMPH patient safety plan, including, but not limited to, coordinating the monitoring of compliance to standards supporting the National Patient Safety Goals, Sentinel Events, Leapfrog Hospital Survey, Culture of Safety, FMEA and patient safety related projects.
  • In conjunction with Health Information Management and the Performance Improvement team ensure accurate coding and reporting of Patient Safety Indicators, and identify occurrences where clinical or performance improvement follow-up and action are warranted.
  • Coordinate all local efforts that support the implementation of the AHRQ Patient Safety Culture Survey and develop,
  • maintain, and refine standardized reports to support and improve Patient Safety culture and measurable outcomes, and present these reports and other information, as needed, to relevant departments and/or committees
  • Work collaboratively to embed excellence in patient safety and quality improvement.
  • Contribute to generating and sharing new knowledge in regional, state and national patient safety venues in conjunction with UPHS (i.e. University Health System Consortium (UHC), CMS, IHI, NPSF, etc.)
  • Prepare materials, including agenda, PowerPoints, case reviews, etc. when requested to support CMO and other senior leaders and/or participate in senior meetings such as BOT Quality, System-Wide Leadership, CEQI, and Executive Safety Committee.
  • Serves as entity administrator of Origami, Penn Medicine’s potential compensable event
  • database. Gathers necessary information and acts as a liaison with the liability insurance carrier regarding all potential and verified claims.
  • Coordinates the release of records in response to subpoenas, insurance, or attorney requests.
  • Works with appointed hospital legal counsel regarding the investigation of forthcoming proceedings, and acts as a liaison with hospital employees concerning their interviews/depositions, when appropriate, to prepare defense claims against the hospital.
  • Coordinates the collection of documents, and other information, and prepares written reports in order to ensure timely and complete responses to hospital-appointed attorneys related to requested information to prepare for pending litigation.
  • Advises the PMPH Director of Quality of any complex issues or problems involving patient safety and recommends corrective actions.
  • Leads Safety Huddles and other safety meetings, whether standing or ad-hoc, as reasonably requested.


  • Registered Nurse - NJ (Required)
  • Cert Professional in Healthcare Risk Management
  • Certified Professional in Patient Safety

Education or Equivalent Experience:

  • Bachelor of Arts or Science (Required)
  • And 5+ years experience 8+ years experience preferred
  • Master of Arts or Science

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

   Current UPHS employees must apply HERE
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