National Accreditation Board for Hospital & healthcare providers (NABH) orientation ppt.pptx

Introduction about NABH. What is is it. How many chapters & basic introduction

1. NABH National Accreditation Board for Hospitals & Healthcare Providers

2. Total Standards: 71 Total Objective Elements: 408 Core : 100 Commitment: 257 Achievement: 35 Excellence: 16 NABH 3 rd edition

3. ACCESS, ASSESSMENT AND CONTINUITY OF CARE(AAC) CARE OF PATIENT (COP) MANAGEMENT OF MEDICATION (MOM) HOSPITAL INFECTION CONTROL (HIC) PATIENT SAFETY & QUALITY IMPROVEMENT(PSQ) RESPONSIBILITIES OF MANAGEMENT (ROM) FACILITY MANAGEMENT AND SAFETY (FMS) HUMAN RESOURCE MANAGEMENT (HRM) INFORMATION MANAGEMENT SYSTEM (IMS) PATIENT RIGHT AND EDUCATION (PRE) NABH CHAPTER

4. Scope of Services UHID Registration of Patient Transfer of Patient Investigation Report time Discharge Summary AAC

5. Uniform Care Emergency Care How to Use Blood ICU Patient Care Obstetric Pt. Care Paediatric Pt. Care Surgical Pt. Care Anaesthesia Pt. Care Pain care Rehabilitation Care Nutritional Care COP

6. Pharmacy storage Prescription Administration of medication Adverse Drug Event Monitoring MOM

7. Pt. right Investigation Admission Medicine Procedure Treatment Pt. responsibilities Follow hospital rule Provide True information of past history Follow doctor’s instruction PRE

8. HIC use of masks and gloves Practice of Hand washing Safe injection and infusion practices One needle one syringe only one time CSSD Clean equipments Clean water supply Monitoring of SSI, VAP, UTI, CAUTI Proper segregation & disposal of BMW

9. Quality Improvement Project Patient safety goals Quality Indicators Time for initial assessment Emergency pt. assessment ADR in indoor pt No. Of UTI in indoor Pt. Bedsore , etc. PSQ

10. Mission Vision Hierarchy ROM

11. Medical Equipment Fire Safety Fire exit route, site lay out All licences should up to date Pt. Safety devices Safety Alarms Code Red Code Blue/ Pink FMS

12. Manpower planning Recruitment Process Personal file of all staff Training Annual Health Check up HRM

13. Pt. Record after discharge IMS

14. Quality Improvement and Safety Committee Infection Control Committee CPR Committee Pharmacy and therapeutic committee Grievance Redressal committee Internal complaints committee for sexual harassment prevention/ Vishakha Committee NABH COMMITTIES

15. Thank you