Sr. Patient Safety Specialist - Trauma Services

Mercy; St. Louis (MO); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Tuition support

Matched retirement plans

Job summary

Mercy is seeking a Trauma Performance Improvement (PI) Nurse to coordinate the PIPS program for trauma and burn patients. You will lead event identification, audit filtering, and multidisciplinary reviews to drive loop closure and evidence of sustained improvement in line with ACS and ABA standards.

This role requires RN licensure and 5 years of related experience, strong analytical abilities, and collaboration with physicians, nursing, and ancillary teams to develop corrective actions and

Qualifications

• Current RN licensure.
• 5 years of trauma, emergency, critical care, or burn care experience.
• Strong analytical, organizational, and communication skills.

Responsibilities

• Coordinate the Trauma Performance Improvement and Patient Safety (PIPS) program for trauma and burn patient populations.
• Organize and facilitate multidisciplinary reviews with case identification, preparation, tracking, and follow-up.
• Collaborate with Trauma Program leadership, Trauma Medical Director, Burn Medical Director and teams to ensure regulatory compliance.
• Identify PI events from registries, audit filters, incident reports, peer review, and referrals.
• Develop corrective actions and monitor loop closure and sustained improvement.
• Prepare for site visits, PRQ submissions, and internal/external audits.

Skills

Analytical skills

Organizational skills

Communication skills

Education

RN licensure

Job description

Find your calling at Mercy!

Position Summary

Serves as a Trauma Performance Improvement (PI) Nurse responsible for coordinating the Trauma Performance Improvement and Patient Safety (PIPS) program for trauma and burn patient populations. This role ensures systematic event identification, multidisciplinary review, and documentation of performance improvement activities, including evidence of loop closure, corrective actions, and sustained improvement in alignment with ACS Trauma Center and ABA Burn Center verification standards.

Key Responsibilities:

Trauma Performance Improvement (PIPS) Coordination

• Coordinate the Trauma Performance Improvement and Patient Safety (PIPS) program for trauma and burn patient populations
• Organize and facilitate the multidisciplinary review process, including case identification, preparation, tracking, and follow-up
• Collaborate with Trauma Program leadership, Trauma Medical Director, Burn Medical Director, and multidisciplinary teams to support program goals and regulatory compliance

Event Identification & Audit Filter Management

• Identify trauma and burn performance improvement events from a variety of sources, including registry data, audit filters, incident reports, peer review, and staff/provider referrals
• Ensure effective use, review, and ongoing evaluation of trauma and burn audit filters in alignment with verification standards
• Support development and refinement of audit filters based on trends and program needs

Documentation & Regulatory Compliance

• Maintain accurate, complete, and survey-ready documentation demonstrating:
  • Event identification and screening processes
  • Effective use of audit filters
  • Multidisciplinary review and case progression
  • Loop closure with documented resolution
  • Corrective actions and follow-up
  • Strategies for sustained improvement over time
• Ensure all PI activities meet trauma and burn program regulatory requirements
• Support preparation for site visits, PRQ submission, and internal/external audits

Performance Improvement & Loop Closure

• Facilitate development and implementation of corrective action plans in collaboration with physicians, nursing, and ancillary departments
• Demonstrate loop closure by validating that identified issues have been addressed and resolved
• Monitor outcomes over time to ensure sustained performance improvement and prevent recurrence
• Escalate high-risk or system-level issues as appropriate

Data Management, Analysis & Reporting

• Collaborate with trauma registry staff to ensure data integrity, completeness, and alignment with PI activities
• Track, trend, and analyze PI events and audit filter data to identify opportunities for improvement
• Develop reports, dashboards, and summaries reflecting trauma PI activity, trends, and outcomes
• Apply evidence-based practice standards and benchmark comparisons to support recommendations

Education, Collaboration & Program Support

• Educate and mentor staff and team members on trauma PI processes, including audit filters, case review, and loop closure
• Promote a non-punitive, systems-focused approach to performance improvement
• Support ongoing education and process improvement initiatives related to trauma and burn care
• Collaborate with stakeholders to drive process improvement and sustain outcomes

Minimum Qualifications

• Current Registered Nurse (RN) licensure
• 5 years of related experience (Trauma, Emergency, Critical care, or Burn care)
• Strong analytical, organizational, and communication skills

Preferred Qualifications

• Knowledge of Trauma PIPS processes and regulatory standards (ACS, ABA, MO state) strongly preferred
• EPIC and ESO experience preferred
• TNCC Instructor preferred

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.