QUALITY CELL (NABH)

NATIONAL ACCREDITATION BOARD FOR HOSPITALS AND HEALTHCARE PROVIDERS (NABH)

QUALITY KI BAAT (August 2021/1.0)

 


CERTIFICATION (Certificate No. PEH-2021-1531)

SCOPE OF SERVICES (Certificate No. PEH-2021-1531)


OFICE ORDER

No.: QC/1/2019/sjh/60dated 13/07/2021- Compulsory induction training of all staff including resident doctors on patient's safety and quality care on joining the VMMC & Safdarjung Hospital- Click for details

No.: NABH/Training/QC/2020/57dated 03/11/2020- Update on progress on VMMC & Safdarjung Hospital on NABH accreditation: orientation of Faculty- Click for details

No.: NABH/Meeting/QC/2020/43 dated 12/10/2020- NABH Training of Senior Resident starting from 13/10/2020 to 22/10/2020- Click for details


CIRCULAR

No.: QC/NABH/2019/10 dated 10/02/2021- NABH onsite assessment on 04th & 05th March, 2021- Click for details

No.: QC/NABH/2019/08 dated 06/02/2021- To provide updated information (by 13/02/2021 positively) about faculty, residents and Medical Officers working in the Department (The onsite assessment of hospital has been scheduled on 04th & 05th March, 2021 by NABH for entry level certification)- Click for details

No.: QC/NABH/2021/07 dated 06/02/2021- To provide updated information (by 13/02/2021 positively) on Nursing Officers (The onsite assessment of hospital has been scheduled on 04th & 05th March, 2021 by NABH for entry level certification)- Click for details

No.: QC/NEB/2020/01 dated 04/07/2020- Installation of Safety belts and braking facilities in patient's trolleys and wheelchair- Click for details

No.: QC/Scope of Service/2020/01 dated 02/07/2020- Display SCOPE service at prominent place in department etc.- Click for details

No.: QC/NABH/2019/12 dated 26/05/2020- To provide information about faculty, residents and Medical Officers working in Department- Click for details

No.: QC/NABH/2019/ 13 dated: 26/05/2020- To provide information about Nurrsing Officer- Click for details

No.: NABH/Progress/2020/4 dated 20/05/2020- Submission of progress on Manuals, SOPs and implementatin of NABH Standards


MINUTES OF MEETING

Minutes of Meeting for induction and other trainings of faculty, residents and staff on quality improvement held on 18/08/2021

Minutes of Meeting on MTP admission process and record keeping as per MTP regulation held on 01/04/2021

Minutes of MRD Committee Meeting held on 20/03/2021

Minutes of Meeting of Patient Safety Committee held on 28/01/2021

Patient Safety Committee  and Prize Distribution held on 28/01/2021

Minutes of Meeting of Departmental Preparedness for NABH Pre-Entry Level Certification held on 06/03/2020

Minutes of Meeting of Departmental Preparedness for NABH Pre-Entry Level Certification held on 04/03/2020


MANUAL, SOP & POLICY DOCUMENTS

Document No. SJH/NABH/Policy/27 dated 20/03/2021- SOP on Medical Termination of Pregnancy- Click for details

Document No. NABH/SJH/Policy/34 dated 01/06/2021- Condemnation Policy- Click for details

Document No. SJH/NABH/Policy/28 dated 29/03/2021- SOP for near expiry and expiry medicines- Click for details

Document No. SJH/NABH/Policy/27 dated 29/03/2021- SOP for TLD Badge Srvices- Click for details

Document No. E/NABH/SJH/Policy/25 dated 01/02/2021- Patient Physical & Chemical Restraint Policy- Click for details

Document No. E/NABH/SJH/Policy/19 dated 20/07/2020- Internal Policy on Prevention and Redressa of Sexual Harassment at Workplace- Click for details

Document No. E/NABH/SJH/Policy/22 dated 20/07/2020- Policy on procurement, storage and dispensing and record keepingof narcotic and psychotropic drugs- Click for details

Manual No. SJH/Manual/01 dated 20/07/2020- Primary Sample collection and handling manual- Click for details

Manual No. BMW Unit/Manual/01 dated 20/02/2019- BIOMEDICAL WASTE MANAGEMENT- Click for details

Document No. E/NABH/SJH/SOP/01 dated 20/07/2020- SOP on care of Patients requiring Anaesthesia- Click for details

Document No. E/NABH/SJH/SOP/02 dated 20/07/2020- SOP on surgical care of patients- Click for details

Document No. E/NABH/SJH/SOP/03 dated 20/07/2020- SOP on storage of Medications- Click for details

Document No. E/NABH/SJH/SOP/04 dated 20/07/2020- SOP on rational use of Blood and Blood Products- Click for details

Document No. E/NABH/SJH/SOP/06 dated 20/07/2020- SOP of Nuclear Medicine Department- Click for details

Document No. E/NABH/SJH/QSP/14 dated 20/07/2020- Policy on Equipment Maintenance- Click for details

Document No. E/NABH/SJH/Policy/15 dated 20/07/2020- Policy on Security and Safety- Click for details

Document No. E/NABH/SJH/Policy/18 dated 20/07/2020- Policy and procedure for mantaining confidentiality, integrity and security of MRD data- Click for details


LIST OF USER CHARGES

User Charges (Testcode) for Admitted Patient & OPD Patient- Click for details


PHOTOGRAPHS

FACULTY ORIENTATION NABH ON 09/04/2019

FACULTY & LABORATORY STAFF ORIENTATION ON NABH STANDARD ON 09/04/2019

NABH STANDARDS AND ACCREDITATION ORIENTATION PROGRAM  FOR SENIOR NURSING PERSONNEL ON 01/02/2019

TRAINING PROGRAM ON IMPLEMENTATION OF NABH STANDARDS FROM 24/09/2018 TO 26/09/2018


NABH ACCREDITATION STANDARDS FOR HOSPITALS

(5th EDITION) APRIL 2020


GUIDE BOOK TO ACCREDITATION STANDARDS FOR HOSPITALS

(4th EDITION) DECEMBER 2015


PRE ACCREDITATION ENTRY LEVEL STANDARDS FOR HOSPITAL

(FIRST EDITION-APRIL 2014)




 

Last Updated on : 18/09/2021