Manager - Patient Safety Officer

Mt Gretna, PA | Professional | Tracking Code: 64158


This position is located at the WellSpan Phillhaven Campus


Job Description

Under the general supervision of the Regional Director-Patient Safety, is responsible for the patient safety improvement and management program for the entity to which assigned (e.g., hospital, medical group, etc.). Inspires all WSH clinicians and staff to achieve a level of reliability resulting in a safe, secure environment for all WSH patients, through timely response to and reporting of safety failures, investigating each event, ensuring utilization of Just Culture and peer review, to identify root causes, and eliminate current and future safety risk. Works in close collaboration with the System Patient Safety as well as physicians and staff in all assigned facilities to achieve these goals, as well as system and entity operating objectives. Maintains compliance with all entity and System patient safety policies and procedures as well as any regulatory and legal requirements.


Duties and Responsibilities


  1. Fosters the use of the occurrence reporting system throughout the System to minimize blame and retribution and emphasize systems improvement.
  2. Coordinates and disseminates information to all entity employees on patient safety improvements. Facilitates the daily safety brief at the entity.
  3. Serves as an advisor on patient safety and peer review activities. Uses Lean methodologies to implement effective process improvement.
  4. Advocates for adoption of best safe practices identified in the literature.
  5. Oversees the methodology for investigation of serious reportable events, serious events and, as appropriate, identified incidents and infrastructure failures. Ensures that any actions as are immediately necessary to ensure patient safety as a result of any investigation are promptly undertaken. Facilitates and documents root cause analyses, as well as assists in accountability for and tracking of action step completion. Reports actions taken to ensure patient safety as a result of any investigation to entity’s senior leadership team, WellSpan Clinical Performance Council, WellSpan Health Council, the WellSpan Patient Safety Committee, and/or the entity’s Board of Directors, as appropriate.
  6. In conjunction with staff from the Quality Management and Risk Management departments, employs systematic techniques such as Failure Mode Effects and Criticality Analysis (FMECA) and root cause analysis for the investigation of failures of the entity.
  7. Provides entity trended reports from the System occurrence reporting systems and assists the Service Lines and Departments in providing trended occurrence reports to the entity Patient Safety Committee and other committees as needed.
  8. Assesses the entity’s safety culture using industry standard assessment tools. Works with other members of leadership to develop and implement programs that seek to address issues of concerns from these surveys.
  9. Develops, implements and coordinates patient safety initiatives and goals such as Leapfrog Patient Safety metrics, IHI, The Joint Commission and National Patient Safety goals, DNV, and PA Department of Health.
  10. Patient Safety Officer
  11. Reports WellSpan Health Patient Safety information to designated committees and boards as directed by senior leadership.
  12. Evaluates performance of patient safety program against measures developed from The Joint Commission or DNV and other standards related to patient safety, Sentinel Event Alerts and WellSpan Patient Safety Committee goals.
  13. Attends and chairs facility/entity Patient Safety Committee meetings and provides consultation to foster adoption of system-wide patient safety initiatives.
  14. Monitors the external environment for best practices and evaluates these for entity implementation.
  15. Serves as entity coordinator for management of all alerts and recalls on equipment and devices within the entity.
  16. Provides patient safety related training as needed, including such topics as Just Culture, root cause analysis, event reporting and management, etc..
  17. If assigned to a hospital entity, oversees the hospital’s responsibilities for patient safety reporting to the Pennsylvania Department of Health and the Pennsylvania Patient Safety Authority.
  18. Reviews assessments of compliance with the Joint Commission Sentinel Event Alert recommendations, if applicable.


  • 3 - 5 years of clinical experience preferably as licensed in a defined discipline; registered nurse or pharmacist preferred. Experience in Respiratory therapy, Physical/Occupational Therapy, Radiation therapy, Risk Management or Performance Improvement will also be considered
  • Background in behavioral health required
  • Bachelor's Degree
  • Registration and current RN license in PA
  • Excellent interpersonal and written and oral communication skills; Excellent organizational skills; knowledge of state and national patient safety regulations.
Ed Pritchard
Ed Pritchard
Sr. Talent Acquisition Consultant
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Formed in 1813, Lebanon is a quaint city of 25,700 residents. The area, rich in heritage and the small-town charm of yesteryear, features sites on the National Register of Historic Places, museums, scenic parks and recreation facilities, performing arts theaters, artists' studios, a farmers' market and dining establishments for all tastes.

Life in Lebanon County offers affordable housing and options for pursuing higher education. Residents can find local employment in manufacturing, retail, arts and entertainment, healthcare and service sectors. Located in southcentral Pennsylvania, Lebanon is within an easy driving distance to Harrisburg, Lancaster, Reading and York. (Patient population: 140,000)