NABH Patient Satisfaction Survey & Feedback System Compliance
This checklist covers compliance requirements under NABH Hospital Accreditation Standards 5th Edition and applicable Indian regulations for healthcare operations. Non-compliance can result in suspension of NABH accreditation, Clinical Establishments Act penalties, and MoHFW de-registration.
- Industry: Healthcare
- Frequency: Quarterly
- Estimated Time: 25-35 minutes
- Role: Patient Experience Manager
- Total Items: 20
- Compliance: NABH Hospital Accreditation Standards 5th Edition, Clinical Establishments Act 2010, MoHFW Guidelines, WHO Standards
Statutory Registration & NABH Accreditation
Verify Clinical Establishments Act registration and NABH accreditation compliance.
- Is the hospital registered under the Clinical Establishments Act 2010 or equivalent State Act?
- Is NABH accreditation certificate current and displayed, with next surveillance audit scheduled?
- Is the hospital registered with the State Medical Council and PCPNDT if applicable?
- Attach photo of Clinical Establishment registration, NABH certificate, and Medical Council registration:
Infection Prevention & Biomedical Waste
Verify IPC programme compliance and biomedical waste management per BMW Rules 2016.
- Is the infection prevention and control programme documented with an active IPC committee?
- Are standard precautions (hand hygiene, PPE, waste segregation) observed and audited monthly?
- Is biomedical waste segregated at source into colour-coded bins and disposed via authorised BMW collector?
- Attach photo of IPC committee minutes, hand hygiene audit results, and BMW authorisation certificate:
Emergency Preparedness & Statutory Registers
Verify emergency response procedures, drill records, and statutory register maintenance.
- Are emergency response procedures documented, practiced through drills, and records maintained?
- Are all statutory registers (accidents, dangerous occurrences, medical examinations) maintained correctly?
- Overall compliance with applicable Indian regulatory requirements:
- Attach photo of emergency drill records, statutory registers, and compliance certificates:
Patient Safety & NABH Quality Indicators
Verify patient safety incident reporting, quality indicator tracking, and NABH compliance.
- Is the patient safety incident reporting system active and near-miss events analysed at monthly quality committee?
- Are clinical outcome indicators tracked and reported to NABH as per accreditation requirements?
- Days since last NABH surveillance assessment or desktop review:
- Medical Superintendent or Quality Director certification:
Corrective Actions & Inspector Sign-Off
Document all deficiencies and assign corrective actions. POPProbe auto-assigns these to team members, generates a signed PDF report instantly, and tracks compliance status across all locations. -> Start free, no credit card required
- List all deficiencies identified in this inspection:
- Overall compliance status?
- Corrective actions assigned to (name and department):
- Inspector digital signature and date:
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Why Use This NABH Patient Satisfaction Survey & Feedback System Compliance?
This nabh patient satisfaction survey & feedback system compliance helps healthcare teams maintain compliance and operational excellence. Designed for patient experience manager professionals, this checklist covers 20 critical inspection points across 5 sections. Recommended frequency: quarterly.
Ensures compliance with NABH Hospital Accreditation Standards 5th Edition, Clinical Establishments Act 2010, MoHFW Guidelines, WHO Standards. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the NABH Patient Satisfaction Survey & Feedback System Compliance cover?
This checklist covers 20 inspection items across 5 sections: Statutory Registration & NABH Accreditation, Infection Prevention & Biomedical Waste, Emergency Preparedness & Statutory Registers, Patient Safety & NABH Quality Indicators, Corrective Actions & Inspector Sign-Off. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed quarterly. Each completion takes approximately 25-35 minutes.
Who should use this NABH Patient Satisfaction Survey & Feedback System Compliance?
This checklist is designed for Patient Experience Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.