- Ensure adherence to NABH / internal quality protocols and dialysis standards.
- Monitor compliance with hospital policies, SOPs, and statutory requirements.
- Conduct regular audits of dialysis units and support functions.
2. Patient Safety & Infection Control
- Implement and monitor infection control practices in dialysis units.
- Track hospital-acquired infections (HAIs) and dialysis-related complications.
- Ensure proper sterilization, biomedical waste management, and hygiene standards.
3. Documentation & Process Management
- Maintain accurate documentation of quality records, audit reports, and SOPs.
- Review and update policies and procedures regularly.
- Ensure proper patient records, consent forms, and treatment documentation.
4. Audit & Monitoring
- Conduct internal audits (clinical & non-clinical).
- Identify gaps and ensure timely closure of audit findings.
- Coordinate external audits (NABH or client audits).
5. Training & Development
- Organize training programs on quality standards, patient safety, and compliance.
- Conduct induction training for recent employees on QA protocols.
- Promote continuous learning and improvement culture.
6. Incident Reporting & CAPA
- Monitor incident reporting system (errors, near misses, adverse events).
- Perform root cause analysis (RCA).
- Implement Corrective and Preventive Actions (CAPA).
7. Patient Feedback & Satisfaction
- Collect and analyze patient feedback.
- Address complaints and ensure resolution within timelines.
- Work on improving patient experience and satisfaction scores.
8. Data Analysis & Reporting
- Track quality indicators (infection rate, machine downtime, patient outcomes, etc.).
- Prepare monthly MIS and quality reports.
- Share insights with management for decision-making.
9. Coordination with Operations
- Work closely with technicians, nurses, and doctors to ensure quality delivery.
- Support operational improvements in dialysis processes.
- Ensure standardization across all centers.