Qualification - UG/PG (Hospital Administration)

Experience - minimum 3 years

Roles and responsibilities of a Quality Executive in a hospital:

1. Quality Management System (QMS) Implementation

- Implement and maintain hospital quality standards (e.g., NABH, JCI).
- Develop and update policies, SOPs, and protocols.
- Ensure compliance with statutory and regulatory requirements.

2. Accreditation & Compliance

- Coordinate accreditation processes (NABH/NABL/ISO).
- Prepare departments for audits and inspections.
- Ensure continuous adherence to accreditation standards.

3. Monitoring & Audits

- Conduct internal quality audits across departments.
- Track non-conformities and ensure corrective & preventive actions (CAPA).
- Monitor key performance indicators (KPIs) and quality metrics.

4. Patient Safety & Risk Management

- Promote patient safety practices and protocols.
- Monitor incident reporting (e.g., medication errors, falls).
- Conduct root cause analysis (RCA) and implement improvements.

5. Documentation & Record Control

- Maintain quality records, reports, and audit documentation.
- Ensure proper version control of policies and procedures.
- Standardize documentation practices across departments.

6. Training & Awareness





- Conduct training sessions on quality standards and safety.
- Educate staff on infection control, patient rights, and protocols.
- Support continuous learning and quality improvement culture.

7. Infection Control Coordination

- Work closely with infection control team.
- Monitor hospital-acquired infection (HAI) data.
- Ensure adherence to hygiene and sterilization protocols.

8. Data Analysis & Reporting

- Analyze quality indicators and patient feedback.
- Prepare reports for management review meetings.
- Suggest improvements based on data trends.

9. Patient Feedback & Satisfaction

- Monitor patient satisfaction surveys.
- Address complaints and feedback systematically.
- Implement service quality improvements.

10. Continuous Quality Improvement (CQI)

- Identify areas for improvement in clinical and non-clinical services.
- Lead quality improvement projects.
- Promote a culture of continuous improvement.

11. Coordination with Departments

- Work with doctors, nursing staff, and administration.
- Ensure quality initiatives are implemented hospital-wide.
- Facilitate interdepartmental communication on quality issues.

Perks:

- Provident Fund

Work Location: In person

📌 Quality Executive (India)
🏢 Devadoss hospital Madurai.
📍 India