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Northern Arizona Healthcare System Patient Safety Program Manager in Flagstaff, Arizona

The Patient Safety Program Manager supports, coordinates, and facilitates the patient safety quality improvement (QI) activities for the organization, developing highly reliable processes and championing NAH's journey to a just culture and zero harm. The Patient Safety Program Manager is responsible for the assessment, analysis, planning, implementation, and evaluation of patient safety interventions and programs using data-driven safety science principles. This individual performs system-level consultation with clinical and operational stakeholders to recommend and implement improvement strategies based on results of proactive risk assessments and patient safety/risk events. In conjunction with clinical and operational stakeholders, the Patient Safety Program Manager incorporates external benchmarking, internal goal-setting, and alignment with nationally recognized best safety practices into the NAH Patient Safety Program.


  • Aligns patient safety strategy with the NAH mission, vision, values, and goals.

  • Advocates for patient safety as a top priority.

  • Develops operational plan to improve patient safety and advocates for resources required to support the plan.

  • Promotes the application of principles of high reliability at all levels of the organization.

  • Fosters transparent communication throughout the organization and with patients and their caregivers.

Safety Culture Improvement

  • Disseminates safety culture survey results within all levels of the organization, disseminates best practices from high-performing work settings, and applies onoing proxy measures of patient safety culture to demonstrate the health of the NAH safety culture.

  • Addresses patient safety implications associated with operational changes (e.g.cost-reduction measures).

  • Advocates for the inclusion of the principles and science of patient safety within initiatives.

  • Disseminates information about patient safety activities on a regular basis.

  • Develops reporting feedback loops for informing individuals and groups about unsafe conditions, near misses, and incidents.

Risk Identification and Analysis

  • Implements a systematic approach to respond to data sources (e.g. safety alerts, product recalls, industry alerts) and develops a mechanism to report identified hazards.

  • Evaluates evidence-based practices for organizational implementation of: bundled care processes, simulation, clinical decision tools, team training, and communication techniques.

  • Evaluates technology solutions to promote patient safety (information technology and medication safety-related technology).

  • Monitors patient safety outcomes following the implementation of new or modified technology or processes.

  • Identifies and disseminates local safety innovations throughout the system.

Measuring and Improving Performance

  • Collects and interprets patient safety data.

  • Presents results of analysis to stakeholders.

  • Selects an improvement methodology that is relevant to an initiative or project.

  • Applies improvement methodologies to promote measurably improved process.

  • Employs project management skills to manage the work of improvement.

  • Employs facilitation skills to promote teamwork.

Systems Thinking and Design

  • Systematically identifies, defines, and addresses patient safety issues.

  • Differentiates among human error, behavioral choices, and system failures.

  • Identifies normalized deviance (e.g., drift) in processes and systems.

  • Applies principles of high reliability and resilience to system design.

  • Identifies and addresses factors that negatively impact human performance (limitations of memory, time constraints, etc)

  • Identifies and enhances factors that support human performance (pattern identification, teamwork, etc).

  • Incorporates regulatory/accreditation requirements in designing process improvement initiatives.


  • Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

  • Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.

  • If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

  • Completes all company mandatory modules and required job-specific training in the specified time frame.


Master of Science in Nursing or healthcare-related field- Required

Nursing Degree- Preferred


Minimum of 5 years acute care as an RN or working in a healthcare setting- Required

Process improvement and/or project management - Required

Experience in evidence-based practice, preparing and synthesizing clinical evidence- Required

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

Certification and Licensure

Lean Six Sigma Greenbelt- Required within 1 year of hire

Certification in Patient Safety (CPPS)- Required within 2 years of hire

Lean Six Sigma or other process improvement methodology- Preferred

RN Licensure- Preferred

Certified Patient Safety Professional (CPPS)- Preferred

Certified Professional in Healthcare Quality (CPHQ)- Preferred

Requisition ID: 2021-9448

Street: 1200 N, Beaver St.

Call Required: No

Full Name: First Last: NOELLE VAN WAGENEN

Email Address: noelle.vanwagenen@nahealth.com

Shift: Days