Responsibilities

Oversee implementation of hospital safety and security policies, including workplace safety, patient safety, and emergency preparedness.

Coordinate safety inspections, drills, and risk assessments.

Ensure compliance with safety standards such as Fire Safety, OSH requirements, and Infection Prevention & Control elements.

Liaise with security service providers and internal stakeholders to address safety concerns or incidents.

Monitor compliance with national healthcare regulations, MOH guidelines, and accreditation standards.

Conduct internal audits and compliance reviews, ensuring timely corrective and preventive actions (CAPA).

Maintain documentation and evidence required for audits, licensing, and accreditation.

Manage all activities related to hospital licensing and permit renewals.

Prepare and submit required documents, reports, and notifications to relevant authorities.

Track expiry dates for licenses, certifications, and ensure timely renewals for facility, equipment, and regulated roles.

Support implementation of hospital quality assurance programs, including KPI monitoring, clinical audits, and performance improvement projects.

Analyse quality indicators and prepare monthly or quarterly reporting for management review.

Facilitate staff training on quality standards, patient safety practices, and compliance requirements.

Coordinate with departments to ensure adherence to policies, SOPs, and best practices.

Lead incident reporting processes, including investigation, RCA (Root Cause Analysis), and follow-up of corrective actions.

Maintain the hospital risk register and support risk assessment activities.

Provide recommendations to reduce clinical and non-clinical risks.

Support emergency preparedness and business continuity planning.

Assist the Head of Department in planning, policy development, and strategic quality initiatives.

Prepare reports, presentations, and documentation for Quality & Patient Safety committees.

Coordinate meetings, training sessions, and interdepartmental engagement on quality and safety matters.

Supervise and guide team members within the Quality & Patient Safety unit.

Perform any other duties as assigned and/ or directed.



Requirements

Bachelor’s Degree in any healthcare discipline. Clinical background is an advantage.

Minimum 3-5 years relevant experience in this job field.

Good knowledge in Statistical Process Management, accreditation standards, MOH regulations, and quality improvement methodologies.

Effective communication, training and interpersonal skills.

Strong analytical, communication, and problem-solving skills.

Ability to conduct audits, manage documentation, and lead safety initiatives.

Communicate well in English and Bahasa Malaysia (oral and written).