A NABH Quality Executive ensures healthcare organizations comply with National Accreditation Board for Hospitals & Healthcare Providers (NABH) standards. Key responsibilities include implementing quality protocols, conducting internal audits, monitoring clinical indicators, managing documentation, and driving continuous improvement to enhance patient safety.

Key Responsibilities and Duties

- NABH Compliance: Implement and monitor NABH standards across clinical and non-clinical departments.
- Auditing: Conduct internal audits (medical records, prescription, clinical) and prepare the organization for external accreditation audits.
- Quality Indicators (QI) Monitoring: Collect, analyze, and report on quality metrics (e.g., mortality, readmission rates, medication errors) and prepare QI dashboards.
- Documentation:



Review and update SOPs, policies, manuals, and committee meeting minutes (MOM) to ensure adherence.
- Incidence Management: Monitor incident reporting, analyze medication errors/near misses, and drive Root Cause Analysis (RCA) and Corrective and Preventive Actions (CAPA).
- Training: Conduct staff induction, training, and awareness sessions on NABH protocols and quality practices.
- Rounds & Safety: Conduct regular facility rounds to ensure compliance and participate in emergency preparedness drills (e.g., Code Red, Blue, Pink).

- Send your CV to: [email protected]

📌 Quality Executive (Lucknow)
🏢 Saraswati Hospital and research center
📍 Lucknow