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?
Related Health Services Checklists
- Joint Commission Hospital Accreditation Checklist
- Sterile Processing Checklist
- Patient Fall Risk Assessment
- Hand Hygiene Compliance Audit
- Ambulance Vehicle Inspection
- Daily Clinic Opening Checklist
- Medication Storage & Handling Checklist
- Healthcare Facility Environmental Safety Checklist