Quality Executive - Narayana Superspeciality Hospital - Gurugram
(2022-03)
Worked on quality management and accreditation initiatives including JCI Audit, NABH (5th Edition), Nursing Excellence audit and NABL in Hospital.
- Worked during JCI Audit, NABH (5th Edition), Nursing Excellence audit and NABL in Hospital
- Handling NABH and JCI Accreditation related work
- Analyzing NABH and Clinical Key Performance indicators for various departments and specialties
- Documentation of departmental Non-clinical manuals as per standards and ensuring Document Control
- Took Induction, Incident management trainings in the Hospital
- Conducting Clinical Governance review meetings with management at various levels and also attend Clinical Governance review meetings with the Corporate team
- Conducting Internal Audits in Hospital as well as review others audit also through digital platform. To perform Quality rounds and audits
- Ensuring quality improvement and innovation work remains focused
- Organizing and Monitoring of Mock drills of Codes in the Hospital and analyzing them
- Training and organizing discussions for educating staff about JCI
- Working upon implementation of JCI policies and standards across Hospital
- Plan and conduct training regarding QIP's and Clinical Audit
- Ensuring proper documentation and maintaining medical records as per norms and also implementation of suggestions from medical audit reports
- Conduct Data Validation for all the selected parameters as per Calender
- Implementation of Clinical Pathway and monitoring its Compliance
Quality Control Officer - Indian Spinal Injuries Centre - New Delhi
(2021 - 2022-03)
- Part of team as Quality Control Officer for ISIC Hospital for NABH Accreditation
- Developing, implementing, and analyzing Key Performance Indicators for various departments
- Ensuring good quality services like infection prevention, clean OPD areas, wards, OT etc
- Working as member Secretary of- Code Blue Committee, We Care Committee, Quality Improvement Committee
- Handling patient complaints and incidents as well as its Closure with the concerned department
- Endorsing the appreciations to the Doctor's and staff given by the patients and their attendants
- Assisting in various education and training programs, as well as coordinating and conducting management review meetings
- Conducting internal audit across Hospital as per NABH Standards
- Took facility round across the Hospital as per defined frequency across the Hospital with the Facility round team
- Attended Infection Control and Fire Safety training in the Hospital
