Job Description

Quality & safety Related Participate in quality movement across hospital through Accreditation/Certification assessment preparations & co-ordination,SOP compliance, Committee meetings,Trainings,Mock Drills as per calendar. Co-ordinate and Participate in monthly Facility Inspection/Safety rounds in all areas -including clinical and non clinical processes. Engage in Patient safety related activities like Incident Management,Monitoring,RCA,CAPA,Use of Quality Tools in RCA. Engage in Proactive Risk Assessment activities and Updatation of Risk Register time to time,monitoring departmental HIRAs periodically. Co-ordinate Incident Review meetings every fortnight/as per calendar and as and when required. Co-ordinate Mortality & Morbidity Committee Meetings every month and Screenings every week. Carry out Active File Audits and Focussed/Departmental Audits regularly. Participate in Hospital wide Internal Audits as per calendar . To ensure that processes and SOPs are adhered to by auditing both active & passive patient records on a regular basis. To work on continuous quality improvement projects like 5S,QIP,Kaizen,Quality Circles Productivity Related Conduct regular training to staffs on Quality.Patient Safety,Risk Management. Participate in CAPA (corrective & preventive activity) for quality metrics & incidents. To participate in Mock Drills, observe,analyze & work towards the deviation