Vishal Sharma

Detail-oriented and results-driven Quality Executive with hands-on experience in implementing and maintaining accreditation standards including NABH 5th Edition and Quality Assurance Initiatives (QAI). Skilled in hospital quality systems, audits, documentation, patient safety, and continuous quality improvement. Proven ability to coordinate across departments to ensure compliance and enhance patient care outcomes.

Quality Executive - Malik Radix Healthcare Pvt. Ltd.

(2025-03)

• Led the implementation of NABH 5th Edition standards across all departments including clinical, administrative, and support services.
• Ensured compliance with all chapters such as Access, Assessment, Care of Patients (AAC), Patient Rights (PRE), Continuous Quality Improvement (CQI), Infection Control (HIC), Facility Management (FMS), etc.
• Coordinated gap analysis and conducted mock audits to prepare departments for final accreditation.
• Maintained all mandatory documentation, policies, SOPs, and records as per NABH requirements.
• Facilitated NABH internal audits and supported external assessments.
• Designed and monitored Quality Assurance Indicators (QAI) for various departments such as OPD, IPD, ICU, laboratory, and pharmacy.
• Collected, analysed, and presented monthly QAI data to management.
• Identified trends and implemented corrective and preventive actions (CAPA).
• Ensured continuous monitoring of quality indicators like infection rates, medication errors, patient satisfaction, etc.
• Conducted regular internal audits (clinical and non-clinical).
• Prepared audit reports and Reviews ensured timely closure of non-conformities.
• Coordinated with department heads to maintain compliance with regulatory standards.
• Managed incident reporting system and ensured proper documentation.
• Conducted Root Cause Analysis (RCA) for adverse events and near misses.
• Implemented risk mitigation strategies to prevent recurrence.
• Worked closely with Infection Control Team to monitor HAI indicators.
• Ensured adherence to infection control protocols, hand hygiene, and biomedical waste management.
• Conducted training sessions on NABH standards, quality protocols, and patient safety.
• Developed training materials and awareness programs for staff.

Internship - Fortis Healthcare Noida 62

I have completed a two month internship program in Patient Care Department (PCS)

MBA - Healthcare and Hospital Management - GNIOT MBA INSTITUTE GRETER NOIDA, U.P

B.Sc - ZBC - N.M.S.N. DASS COLLEGE BUDAUN, U.P