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Nabh checklist
Governance and Leadership
Define the scope of services offered by the organization.
Establish a governing body to oversee operations.
Develop a mission and vision statement.
Ensure effective leadership and management systems are in place.
Create policies for ethical governance and decision-making.
Patient Rights and Education
Ensure that patient rights are defined and communicated.
Develop mechanisms for obtaining informed consent.
Implement a process for addressing patient grievances.
Provide patient education on their rights and responsibilities.
Ensure confidentiality and privacy of patient information.
Patient Care
Establish patient care protocols and pathways.
Ensure availability of qualified healthcare professionals.
Implement infection control measures.
Monitor and assess patient outcomes regularly.
Conduct regular training for staff on patient care standards.
Quality Management
Develop a quality management framework.
Implement regular audits and performance evaluations.
Establish a risk management plan.
Foster a culture of continuous improvement.
Engage in patient safety initiatives.
Facility and Safety
Ensure compliance with building and safety regulations.
Conduct regular maintenance and safety inspections.
Implement emergency preparedness plans.
Ensure accessibility for all patients.
Maintain cleanliness and hygiene standards.
Human Resource Management
Develop a human resource policy manual.
Ensure staff recruitment and retention strategies are in place.
Implement a training and development program.
Conduct performance appraisals regularly.
Promote staff welfare and support.
Information Management
Establish an information management system.
Ensure data security and confidentiality protocols are in place.
Regularly review and update medical records.
Implement a system for reporting and analyzing data.
Ensure compliance with legal and regulatory requirements.
Each section aims to guide hospitals and healthcare providers in meeting the NABH accreditation standards effectively.
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