Director Patient Safety

Philadelphia, PA, US, 19104

Location: LOC_BUERGER-Buerger Center Ambulatory Care 

Req ID: 91861

Shift: Days

Employment Status: Regular - Full Time 

Job Summary

Has the overall responsibility to develop and implement the patient safety program strategy and manage the core institutional resources devoted to improving safety and achieving CHOP’s vision of becoming the safest hospital. Directly responsible for systems designed to support harm reduction, event detection, event review and corrective action planning as well as proactive mitigation of potential errors. Collaborates with Director for Risk Management and Risk Management staff and his/her safety team to support consistent reporting of safety events, event analysis, and mitigation strategies in a way that fuels improvement and manages risks effectively.


Collaborates with Chief Safety and Quality Officer, Deputy Patient Safety Officers, Nursing Safety and Quality leaders/specialists, infection prevention team and other leaders to shape the strategy driving advancements in culture for improving safety and eliminating preventable harm.


Directly supervises Patient Safety staff including Safety Program/project Managers, improvement advisors focused on harm prevention initiatives and Medication Safety Officer.  Oversees ongoing efforts to improve safety.  Directs event analyses and participates in the formulation and implementation of commensurate corrective action plans. Oversees the periodic completion of a common cause analysis looking across events to help establish enterprise priorities for improvement.


Supports leadership in driving a safety culture characterized by a reporting culture, a fair and just culture, a learning culture, and a resilient culture characterized by effective teamwork. Responsible for overseeing ongoing measurement of Safety Attitudes; participates in formulation of recommendations to improve employee engagement in connection with a culture of safety.


Collaborates with leaders at all levels to accelerate centrally led harm reduction efforts for implementation across and within clinical units.


Collaborates with employee/staff safety team to align harm reduction initiatives focused on patients with those oriented to avoiding employee/staff injuries.


Collaborates with CSQO and safety team, and human resource and internal communication teams on ongoing education and communication strategies across the system


Assures that event reporting, analysis, and mitigation are compliant with regulatory bodies.


Serves as liaison on a variety of internal & external committees, task forces & initiatives including (but not limited to): Safekeeping Advisory Group, Patient Safety Officers, Solutions for Patient Safety, Children’s Hospital Association etc.  Maintains productive relationships with key executive stakeholders, departmental patient safety officers, safety coaches and others supporting the Journey to Safekeeping.

Job Responsibilities

  • Supervises and develops patient safety team staff to promote communication, teamwork, customer service, transparency and accountability in order to achieve dramatic improvements in patient outcomes and organizational culture.  Ensures that team models behaviors consistent with the culture of safety.
  • Leads and coordinates teams focused on preventing hospital acquired harm
  • Develops and implements infrastructure to support continuous improvement strategies, to reduce preventable harm, and sustain harm prevention initiatives
  • Develops and oversees a system to support and sustain programmatic growth
  • Promotes consistent utilization of the CHOP Improvement Framework in leading harm reduction initiatives
  • Oversees the development, collection and reporting of performance metrics including the use, maintenance and optimization of program systems, databases and tools for all harm indicators
  • Collaborates with subject matter experts across the organization to support harm prevention
  • Assists in development and execution of program outreach and advocacy
  • Oversees system for online event reporting
  • Collaborates with IT, Analytics group, to establish mechanisms for: online event and error reporting; electronic management of the event review and mitigation process; and data analysis to provide actionable and understandable clinical safety information.
  • Maintain the inventory of events and corrective action plans that allows monitoring of progress in prevention.
  • Define and prioritize additional system needs to enhance reporting and analysis of events.

Job Responsibilities (Continued)

  • Collaborate with Risk Management to operate a system to evaluate safety events and to prepare corrective action plans based on formal root cause analysis.
  • Contribute to a fair and just culture through conduct of analyses to identify individual and system failure modes.
  • Oversee the work of Patient Safety Process Managers in leading RCA teams; support Apparent Cause Analyses by local leaders, and conducting common cause analyses.
  • Support event reporting systems
  • Collaborate with Performance Improvement center to re-engineer clinical processes for error prevention
  • Coordinate and provide patient safety data support for medical and administrative leadership groups.    Identify trends and patterns from the data; engage key stakeholders to discuss recommendations for tests of change and course correction.
  • Root Cause Analysis Advisory Committee
  • Selected medical staff committees (e.g. Patient Safety, Quality Improvement, Operative and Invasive Procedures).
  • Healthcare and Health Status Committee of the Board of Trustees.
  • Leadership patient safety rounds.
  • Develop dashboard for key safety measures (e.g. Patient safety goals; safety event rates); recommend key performance indicators for review.
  • Define measures, monitors, and report clinical data sources for leadership.
  • Monitor compliance with event reporting requirements and provides direction for regulatory and accreditation activities related to safety event management.
  • Develop and implement metrics of safety such as serious safety event rate, medication safety event rates, and precursor events.
  • Develop and implement measures of progress for SSE corrective action plans.
  • Provide internal expertise, education and advocacy.
  • Disseminate patient safety science and methods to reinforce CHOP improvement efforts.
  • Promote data-driven decision making to establish organizational priorities in patient safety.
  • Develop procedures to preserve peer review protection of appropriate clinical outcomes and patient safety data.
  • In conjunction with CMO, develop and implement a process for peer review.
  • Serve as internal advocate for staff, patients, and families on issues of patient safety.
  • Develop educational content and delivery format for patient safety and clinical effectiveness for staff, patients and families.
  • Create and coordinate appropriate recognition for successful improvements in safety.
  • Serve as institutional liaison on matters of patient safety.
  • Promote CHOP’s role as a national leader in Patient Safety through conference presentations and publications and oversee the portfolio of work
  • Manage financial and administrative responsibilities for patient safety program

Job Responsibilities (Continued)

Required Licenses, Certifications, Registrations

Safety Cert (Institute for Healthcare Improvement)

Required Education and Experience

Required Education:  Bachelor’s degree in a healthcare field with correlating terminal master’s or doctoral degree.


Required Experience: 

  • At least seven (7) years’ clinical experience which includes at five (5) years in patient safety process improvement experience
  • At least three (3) years of managing/leading a department or large team

Preferred Education, Experience & Cert/Lic

Preferred Education:  Degrees in RN or Pharmacy fields


Preferred Experience:

  • Experience in a large complex medical institution

Additional Technical Requirements

  • Extensive knowledge of safety science, high reliability organizational thinking, and cultural aspects of safety climate.
  • Strong background in safety improvement including approaches to event detection, analysis, and prevention.
  • Experience with group facilitation, process improvement, project management, and change management, preferably in a matrix managed environment.
  • Facilitative skills in managing group dynamics and ensuring effective group function.   Demonstrated ability to facilitate cross-functional teams to drive improvement.
  • Strong influence, stakeholder management & collaboration skills; proven ability to work effectively at all levels within the institution and as a liaison with external organizations.
  • Strong written and oral communication skills, including formal presentation & public speaking skills. 

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products.

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.  Please contact our hiring official with any referrals or questions.

CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 




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