Emergency is an integral part of any hospital. Quality of emergency care depends upon several factors related to its infrastructure, design and processes. In NABH standards, there are several requirements that relates to the functioning of emergency and it must be taken care of by a hospital while preparing for accreditation. Below is the list of all such requirements which has been picked from NABH standards and observations made during assessments.
Showing posts with label NABH Checklists. Show all posts
Showing posts with label NABH Checklists. Show all posts
30 May 2017
Emergency department checklist and quality indicators for NABH accreditation preparation
Emergency is an integral part of any hospital. Quality of emergency care depends upon several factors related to its infrastructure, design and processes. In NABH standards, there are several requirements that relates to the functioning of emergency and it must be taken care of by a hospital while preparing for accreditation. Below is the list of all such requirements which has been picked from NABH standards and observations made during assessments.
29 May 2017
Operation Theater checklist and quality indicators for NABH accreditation preparation
One of the most difficult area to prepare for accreditation
is operation theater. It’s a complex department where multiple critical
function happens and many categories of staff are involved. Besides, infrastructure of OT is also very important for accreditation preparation.
Based upon commonly observed things during NABH assessments and standards &
objective elements under different chapters, here is a checklist that can be used
for preparing OT for accreditation.
26 May 2017
Medical Records checklist and quality indicators for NABH accreditation preparation
Medical Records of patient is the most important record that a hospital maintains. Contents in medical records serves as an important evidence of compliance to many NABH standards and objective elements. For a hospital that is preparing for NABH accreditation, concentrating on medical records is very important. Here is the list of things that must be ensured to comply with accreditation requirements.
(Please note that this checklist is meant for documentation and organizing of medical records and not meant for treatment audit or medical audit)
1. Medical record of each patient should have a unique identification number.
2. Unique identification number of the medical record should be printed/written on every sheet inside the medical record to prevent misplacement of sheets24 May 2017
ICU checklist and quality indicators for NABH accreditation preparation
ICU is a type of specialized wards for providing intensive
care to patient in critical condition. It plays an important role in providing
quality healthcare and there are several standards applicable to it under NABH.
Since it is a ward, all requirements mentioned in the post on ‘In-patient wards checklist and Quality Indicators for NABH accreditation’ is also applicable to
it. In addition, following points should be taken care of while preparing ICU for
NABH accreditation.
- Restricted entry to ICU. There should be an demarcation from where entry should be restricted to ICU staff only.
- Hand washing (or hand rub) at the entry of ICU. Staff must wash their hands or use hand rub before entering ICU and after coming out of it
- Nurse : Patient ratio to be maintained at 1:1 in all shift.
23 May 2017
In-patient wards checklist and Quality Indicators for NABH accreditation
In-patient wards are the place where most of the patient care activities happens. While preparing for NABH, wards requires high amount of attention as a large number of NABH standards applies to it. This post identifies such requirements and can be used as a checklist by hospitals preparing for NABH accreditation. The checklist, being general in nature, must be reviewed for its suitability to individual hospital, before use.
The checklist is relevant for an inter-mediate care ward. There are additional requirements for specialized wards such as ICU, emergency etc. which will be listed under separate heading in upcoming posts. Readers are requested to subscribe to the blog through email for getting regular updates on posts.
Before going through this checklist please also go through ‘Infrastructure checklist for NABH accreditation’
17 May 2017
Infrastructure checklist for NABH accreditation
My earlier post on ‘Preparing for NABH accreditation’, mentions broad approach towards accreditation and the post
on ‘How not to prepare for accreditation’ lists out the prevention that you
must take. Although NABH standards is largely based on processes, hospital’s infrastructure
also plays a pivotal role in determining accreditation status for a hospital.
The problem here is that it has not been separately or clearly identified in
NABH standards book as standards related to infrastructure. Many
infrastructural requirements are actually interpreted from standards and are
usually checked during assessments. As fulfilling infrastructure requirements may
take more effort and longer time to complete, many hospitals may feel the need
of having a checklist of infrastructural requirements that they can fulfill while they start to work upon process related requirements.
After gleaning through NABH
standards and observation of various NABH external assessment, I have listed
down following infrastructure related requirement, with an objective that
hospitals can use it as a checklist for addressing them. Please note that all of these requirements may not be mandatory, but are usually expected in assessments out of interpretation of NABH standards.
8 May 2017
PREPARING FOR NABH ACCREDITATION
NABH accreditation for hospitals
has become popular to the extent that it is now almost a necessity for any hospitals
to have accreditation for competing in healthcare market. Hundreds of hospitals have applied and are making
effort to bring themselves up to the level expected by NABH. There are
different ways in which hospitals prepare themselves for accreditation. Some
put up their own team to understand and implement standards while others hire a
consultant to help them towards this. Chain hospitals replicate their
accreditation work of one of their other hospitals in other units. Irrespective of the method adopted,
preparation for accreditation requires, substantial resources, proper planning
and dedicated efforts on part of the organization. Preparing for accreditation
is like a journey with milestones to achieve and unless the path and approach
chosen is correct, reaching the milestones can become very difficult.
With my experience of over 10 years
with NABH accreditation, I have published a book ‘Accreditation of HealthcareOrganizations’ (Jaypee Publishers), which could be very helpful for those
hospitals preparing for accreditation. Till date, it is the only book on this subject
in the country.
For those who would like to have a
quick read, instead of reading the entire book, below I have written a brief on
‘Preparing for Accreditation’, which I have taken mostly from one of the
chapters of my book.
26 April 2017
How not to prepare for accreditation
With a sizable number of accredited and a long list of
applicant hospitals, NABH accreditation is on its way to soon become a norm for
hospital industry in India. Almost all for profit hospitals and a large number of
charitable hospitals in India aspires for accreditation and most of them have either
revamped or in process of revamping their organization in accordance to accreditation
standards.
I have written a long post on 'How to prepare for accreditation', but equally important is also to know, how not to prepare for it. Below, I have covered this topic explaining what could happen if wrong approach is followed for accreditation preparation.
I have written a long post on 'How to prepare for accreditation', but equally important is also to know, how not to prepare for it. Below, I have covered this topic explaining what could happen if wrong approach is followed for accreditation preparation.
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