Posted:4 days ago|
Platform:
On-site
Full Time
Job Purpose:
To support the implementation, monitoring, and continuous improvement of the hospital’s Quality Management System, in alignment with NABH, NABL, and other accreditation standards, ensuring patient safety and regulatory compliance.
Key Responsibilities:1. Quality Compliance & Audits:
- Assist in implementing NABH standards across departments.- Conduct internal audits, facility rounds, and compliance checks.- Follow up with departments on observation closures and corrective actions.- Maintain and update compliance dashboards.
2. Data Management & Reporting:
- Collect, validate, and analyze hospital-wide quality indicators.- Prepare monthly, quarterly, and annual quality reports.- Track clinical and non-clinical KPIs (e.g., infection rates, medication errors, patient falls).
3. SOP & Document Control:
- Coordinate with departments for SOP creation, review, and updates.- Maintain SOP and policy repository (both hard and soft copies).- Ensure version control and timely communication of revised documents.
4. Incident & Risk Management:
- Assist in incident reporting, documentation, and Root Cause Analysis (RCA).- Maintain incident tracker and follow-up for closure of CAPA.- Coordinate for patient safety initiatives and risk assessments.
5. Training & Awareness:
- Organize training sessions on NABH standards, patient safety, and other quality-related topics.- Support departments in conducting mock drills (fire, code blue, etc.)- Participate in induction and refresher training programs.
6. Patient Safety & Feedback:
- Monitor patient feedback mechanisms (feedback forms, complaint logs).- Analyze trends and support actions for improvement.- Promote a culture of safety and quality improvement hospital-wide.
Qualification & Experience:
- Bachelor's or Master's in Healthcare Management / Public Health / Life Sciences / Nursing / Hospital Administration.-
0–2 years of experience in hospital quality, NABH coordination, or accreditation support (freshers with training in NABH may also apply).
Skills Required:
- Strong knowledge of NABH standards (preferably 6th edition).
- Good communication and documentation skills.-
Analytical mindset and proficiency in MS Excel, Word, PowerPoint.
- Ability to coordinate with clinical and non-clinical departments.
- Time management and attention to detail.
Job Type: Full-time
Pay: ₹23,000.00 - ₹25,000.00 per month
Benefits:
Schedule:
Education:
Work Location: In person
Cytecare Cancer Hospitals
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