Job Title: Hospital Quality Executive

Work Location : Even Hospitals - Indranagar / HBR

Work Mode: In office

Job Summary

The Hospital Quality Executive plays a hands-on role in implementing, monitoring, and sustaining quality standards, patient safety practices, and compliance systems within the healthcare organization. This role works closely with clinical, nursing, administrative, and support teams to ensure hospital operations align with regulatory guidelines (NABH/JCI), standard operating procedures (SOPs), and internal quality policies.

Key Responsibilities

1. Accreditation Compliance Management
- Maintain and update hospital policies, standard operating procedures (SOPs), and manuals in accordance with NABH, JCI, or ISO standards.
- Act as the primary coordinator for continuous accreditation readiness, assisting in documentation review and external assessment preparation.
- Ensure hospital compliance with statutory and regulatory requirements (e.g., Biomedical Waste Management, Fire Safety, PCPNDT Act).

2. Quality Monitoring Auditing




- Conduct routine departmental quality rounds, internal audits, and mock surveys to ensure adherence to hospital protocols.
- Track and monitor raw data for Key Performance Indicators (KPIs) and Quality Indicators across clinical and non-clinical departments.
- Facilitate clinical audits (e.g., prescription audits, medical record audits, CPR audits, infection control audits).
- Identify non-compliance areas and coordinate with department heads to formulate Corrective and Preventive Actions (CAPA) .

3. Incident Management Patient Safety
- Analyze clinical incidents, including medication errors, adverse drug reactions, near misses, and sentinel events.
- Assist in conducting Root Cause Analysis (RCA) and Failure Mode and Effects Analysis (FMEA) to mitigate patient safety risks.
- Monitor patient grievance and feedback data to recommend service improvement initiatives.

4. Training Data Management
- Organize and conduct quality

📌 Quality Executive (Bengaluru)
🏢 Even
📍 Bengaluru