Essential Responsibilities: Maintains current knowledge of BRM, DPH, JCAHO and other regulatory standards and regulations and disseminates information to the appropriate individuals. Identifies accidental injuries and near-miss accidents through review of data received through the BIDMC Incident Reporting System. Attends Morbidity and Mortality conferences for assigned clinical areas, as well as other meetings where patient safety issues are discussed. Via the incident reporting system, attendance at M&Ms as well communication with all levels of staff. Identifies adverse events which require intensive review. Facilitates intensive review of significant adverse events. Completes documentation of all such reviews. Analyzes data utilizing informal or formal analytical methodology such as Root Cause Analysis and Failure Mode and Effects Analysis. Recommends specific actions to eliminate or mitigate risk of patient harm. Recommends process improvements. Collaborating with medical staff and hospital leadership, develops and assists in the implementation of action plans. Works in close collaboration with QI Directors, nursing and administrative leaders for assigned clinical departments. Provides staff support for the following committees: QI Directors, PCA Committee. Completes external reports as required under state regulation or JCAHO rules for assigned clinical departments. Responds to DPH, BRM, JCAHO, and QIO (Mass. PRO). Provides patient safety consultation for inquiries from physicians, nurses, or other healthcare practioners. Required Qualifications:Bachelor's degree in Nursing; Master's degree in Nursing preferred. License Registered Nurse required .-8 years related work experience required. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases. Preferred Qualifications:5 years of nursing or other health care experience preferred if related experience in Quality Assurance, Risk Management, or Claims Investigation is required to facilitate the analysis of the medical care. Competencies:Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/ Director provides broad guidance and overall direction. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. Age based Competencies:Employees in this job must be competent to provide patient care to the following age groups: Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. Physical Nature of the Job:Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally. Pay Range: $76,960.00 USD - $199,129.00 USD -