Manager, Quality & Patient Safety (NABH)

Aadicura Super Specialty Hospital | Vadodara, Gujarat | Full-time

About Aadicura

Aadicura Super Specialty Hospital, Vadodara, is an NABH-accredited hospital. We have earned our accreditation, and now we want to sustain it, deepen it, and make quality part of how every team works, every day.

The Role

As Manager, Quality & Patient Safety, you will lead our quality and patient safety program. You will keep the hospital audit-ready all year, turn standards into everyday practice, and build a culture where quality belongs to every department, not just the quality office.

Key Responsibilities
Maintain NABH compliance and lead preparation for surveillance assessments and re-accreditation
Develop, review, and update SOPs, policies, and documentation across all departments
Plan and run internal audits, clinical audits, mock drills, and patient safety rounds, and track corrective and preventive actions (CAPA) to closure
Manage the incident, near-miss, and sentinel event reporting system, including root cause analysis




Monitor quality indicators and patient safety metrics, and present trends and gaps to senior leadership
Work with infection control, nursing, pharmacy, and clinical teams on medication safety, hand hygiene, and secure surgical practices
Support patient rights, consent, and grievance processes in partnership with Patient Services
Train staff on quality standards, documentation, and safety practices, including induction for recent joiners
Coordinate with department heads to close audit gaps and build ownership
Prepare dashboards, management review reports, and audit summaries

What We're Looking For
5 to 6 years of experience in hospital quality or NABH compliance
Hands-on experience working in a NABH-accredited hospital, ideally through at least one full assessment cycle
Robust knowledge of NABH standards, internal audits, and documentation systems
Experience with root cause analysis, CAPA, and

📌 Manager, Quality Vadodara
🏢 Aadicura
📍 Vadodara