India NABH Hospital Accreditation Checklist

This comprehensive NABH accreditation checklist is designed for hospitals and healthcare organisations in India preparing for National Accreditation Board for Hospitals and Healthcare Providers (NABH) assessment. Aligned with Quality Council of India (QCI) standards, Clinical Establishment Act requirements, and AERB (Atomic Energy Regulatory Board) radiation safety regulations where applicable. Covers Patient Rights and Education, Care of Patients, Management of Medication, Infection Control, Co

Industry: Healthcare
Frequency: Monthly / Pre-assessment
Estimated Time: 60-90 minutes
Role: Quality Manager / Medical Superintendent / NABH Coordinator / Hospital Administrator
Total Items: 44
Compliance: NABH, QCI, Clinical Establishment Act, AERB (Radiation)

Patient Rights and Education (PRE)

Rights of patients and their families are respected and protected.

Patient rights policy documented and displayed?
Informed consent obtained for all procedures?
Patient privacy and confidentiality maintained?
Grievance redressal mechanism in place?
Patient and family education provided?
Special provisions for vulnerable patients?
Right to second opinion communicated?

Facility Management and Safety (FMS)

Hospital provides safe and secure environment for patients, staff and visitors.

Facility management plan documented?
Fire safety measures in place?
Electrical safety ensured?
Biomedical equipment maintenance program?
Radiation safety compliance (if applicable)?
Disaster management plan in place?
Security measures adequate?
Water quality testing conducted?
Biomedical waste management compliant?

Hospital Infection Control (HIC)

Hospital has effective infection control programme in place.

Infection Control Committee functional?
Dedicated Infection Control Nurse appointed?
Hand hygiene program implemented?
Hospital Acquired Infection surveillance?
Sterilization protocols followed?
Antibiotic policy implemented?
Adequate isolation facilities available?
Employee health program in place?

Medication Management (MOM)

Safe medication practices throughout the hospital.

Pharmacy license valid and displayed?
Hospital formulary maintained?
Medication storage conditions appropriate?
High-alert medications identified?
Medication error reporting system?
Prescription audits conducted?
Narcotic and controlled drug controls?
ADR reporting and monitoring?

Continuous Quality Improvement (CQI)

Hospital implements quality improvement methodologies.

Quality policy documented and communicated?
Quality Assurance team in place?
Clinical indicators monitored?
Patient satisfaction surveys conducted?
Root Cause Analysis for sentinel events?
Clinical audits conducted regularly?
Benchmarking with similar hospitals?
Quality improvement projects ongoing?

Initial Safety Assessment

Preliminary safety and compliance verification

Work area safe and hazard-free?
Required PPE available and in good condition?
Emergency exits clear and marked?
First aid supplies accessible?

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Why Use This India NABH Hospital Accreditation Checklist?

This india nabh hospital accreditation checklist helps healthcare teams maintain compliance and operational excellence. Designed for quality manager / medical superintendent / nabh coordinator / hospital administrator professionals, this checklist covers 44 critical inspection points across 6 sections. Recommended frequency: monthly / pre-assessment.

Ensures compliance with NABH, QCI, Clinical Establishment Act, AERB (Radiation). Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the India NABH Hospital Accreditation Checklist cover?

This checklist covers 44 inspection items across 6 sections: Patient Rights and Education (PRE), Facility Management and Safety (FMS), Hospital Infection Control (HIC), Medication Management (MOM), Continuous Quality Improvement (CQI), Initial Safety Assessment. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed monthly / pre-assessment. Each completion takes approximately 60-90 minutes.

Who should use this India NABH Hospital Accreditation Checklist?

This checklist is designed for Quality Manager / Medical Superintendent / NABH Coordinator / Hospital Administrator 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.