Preparing the Hospital for Implementation of NABH Standards

Agency : Bhakti Vedanta Hospital, Mumbai

Bhakti Vedanta Hospital, Mumbai entrusted the Institute with the task of preparing the hospital for the implementation of NABH. the beginning, a quality coordination team comprising of medical administrator, an assistant nursing superintendent, a staff nurse and IIHMR NABH coordinator was constituted. The hospital’s system audit was done using a specially designed checklist with an aim to find out the gaps against the NABH standards. All Heads of Departments were trained on NABH standards during a two-day training program. Based on the gap analysis, SOPs were defined and communicated to the management along with GANTT chart. More than 15 committees. were constituted to monitor quality in the hospital in its various departments. IIHMR coordinated the meetings of these committees. Training plans on various issues were made and more than 35 training sessions were organized to orient the hospital staff about NABH Program, patient perspectives, safety guidelines, waste management system and disaster management.


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