This role leads the implementation of risk management and patient safety programs within the hospital. This role collaborates with multidisciplinary teams to strengthen a culture of safety, ensure compliance with accreditation standards, and drive continuous quality improvement across the organization.
Key Responsibilities:
- Coordinate risk management programs across all hospital units.
- Support the implementation and monitoring of the hospital's risk management and quality management systems.
- Collaborate with the Quality Committee to manage the patient safety incident reporting system, incident investigations and root cause analysis (RCA).
- Develop and maintain the hospital risk register and formulate risk mitigation plans for clinical and operational processes.
- Facilitate the development of Failure Mode and Effects Analysis (FMEA) for new services or high-risk processes.
- Conduct an analysis of the hospital's patient safety culture.
- Ensure compliance with the hospital accreditation standards such as STARKES and JCI.
- Prepare reports, documentation, and data analyses to support reporting to the CEO, quality audits, and accreditation preparation.
- Provide education and training to staff on patient safety and risk management.
- Collaborate with relevant departments and committees to support hospital programs related to risk management and patient safety.
Qualification
- Bachelor's degree in Medicine, Nursing, Public Health, Hospital Administration, or related field.
- Minimum 5 years of experience in hospital settings, preferably in Risk Management, Patient Safety, Quality Improvement, or PMKP.
- Master's degree in Hospital Management (MARS) or related field will be an advantage.
- Familiarity with hospital quality management systems and patient safety frameworks.
- Strong understanding of hospital accreditation standards (KARS / JCI).
- Experience in incident investigation methods (RCA, FMEA) is preferred.
- Strong analytical, reporting, and documentation skills.
- Excellent communication and stakeholder coordination abilities.
- Detail-oriented, proactive, and committed to improving patient safety and healthcare quality.
