- Support implementation and monitoring of NABH standards across all departments.
- Assist in preparation, documentation, and revision of hospital SOPs, policies, and manuals.
- Conduct internal audits, tracer activities, and gap analysis as per NABH guidelines.
- Coordinate with department heads for closure of non-conformities and CAPA implementation.
- Maintain quality indicators, dashboards, and reports related to patient safety and care outcomes.
- Ensure proper documentation and record maintenance for accreditation and inspections.
- Monitor patient safety incidents, near-miss events, and sentinel events.
- Assist in root cause analysis (RCA) and corrective/preventive action planning.
- Support infection control surveillance and quality improvement initiatives.
- Facilitate quality training, awareness programs, and staff sensitization.
- Participate in patient satisfaction surveys and service improvement initiatives.
- Support mock drills, emergency preparedness, and disaster management activities.
- Ensure compliance with statutory and regulatory requirements.
- Assist during external audits, inspections, and NABH assessments.
- Promote a culture of continuous quality improvement and patient safety.
Eligibility Criteria
- Qualification :
- Bachelor’s Degree in Healthcare / Nursing / Life Sciences / Hospital Administration
- Certification in Quality Management / NABH (preferred)
- Experience :
- Minimum 1-3 years experience in hospital quality or accreditation