Pediatric Trauma Performance Improvement Coordinator

St. Luke's University Health Network•Bethlehem, PA
•Onsite

About The Position

The Performance Improvement Patient Safety Coordinator assists the Trauma Program Medical Director (TPD) and the Trauma Program Manager (TPM) in improving quality of trauma care throughout the continuum. Collaborates with the TPD and the TPM to implement and assure adherence to the Trauma Program’s Performance Improvement Patient Safety Program and the PTSF through concurrent and retrospective clinical and chart review of trauma patients. The work of the Performance Improvement Patient Safety Coordinator will facilitate this process with the Trauma Program Medical Director who will be ultimately responsible for the quality improvement program. Effective continuous quality improvement programs depend upon concurrent monitoring of the events surrounding the care and outcome of injured patients. Rational decision-making aimed at improving trauma care must be based upon a detailed understanding of the causes, treatment, and outcomes of injury.

Requirements

  • BA/BS Degree in Nursing
  • RN Licensure in PA
  • 3-5 years' experience in either ER, Critical Care or floor that takes care of trauma patients.

Nice To Haves

  • ACLS/PALS/ATLS-ATCN preferred
  • Master’s degree desired

Responsibilities

  • Coordinates the Trauma Performance Improvement (PI) Program for the hospital in collaboration with the Trauma Medical Director and Trauma Program Manager.
  • Conducts patient rounds to review services and adherence to the PTSF standards. Utilizes clinical expertise to aggregate, assess and interpret information in order to evaluate the quality of clinical care.
  • Review patient occurrences, user defined indicators, and audit filters with Trauma registrar and validate data on a concurrent basis.
  • Responsible for issue identification, issue validation, issue analyses, and initiates follow-up to assure loop closure that will improve clinical outcomes and patient care.
  • Identify areas for improvement and education; using this data to develop educational programs, action plans to address quality issues identified in the trauma program and to ensure follow through on these plans.
  • Oversees the collection, tracking and benchmarking of trauma PI issues related to patient care and system development.
  • Correlates POPIMS outcomes and PI findings with trauma registry data for adherence to PTOS criteria, accuracy, and inter-relater reliability and educates registry staff as needed to ensure required compliance for trauma center accreditation.
  • Provides concurrent feedback and issue resolution to the trauma service and liaisons.
  • Maintenance of the Trauma PI database (POPIMS) to ensure adequate documentation as required by Pennsylvania Trauma Systems Foundation (PTSF). Ability to produce clear effective reports and to track issues over time.
  • Update POPIMS database on a daily basis using concurrent and retrospective review of patient care.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service