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NABH Chapter-wise Audit Checklists
1,094 checkpoints across all NABH 6th Edition chapters — AAC, COP, MOM, SAF, HIC, CQI, HRM, and FMS — with a 1–5 scoring scale and defined compliance band thresholds (≥4.0 = compliant).
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Department-wise Internal Audits
Separate audit instruments for 16 departments — OPD, IPD, OT, ICU, Emergency, Lab, Radiology, Pharmacy, CSSD, Laundry, Kitchen, Housekeeping, HR, Medical Records, and more.
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Clinical Indicator Monitoring (MIS)
NABH MIS-aligned KPI framework. Correct NABH sample size tables applied per indicator. Tracks four mandated indicator types with monthly trend analysis and QIC-ready output.
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Incident Reporting & Analysis
13 incident types with NCC-MERP A–I severity classification, near-miss capture, sentinel event escalation, and structured RCA. Fully mapped to NABH CQI chapter requirements.
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Risk Management Register
49-hazard pre-loaded register across 9 domains. 5×5 likelihood × severity matrix with automatic risk score, residual risk tracking, and Word-format risk report generation (ROM.6.a).
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PROM / PREM Assessment
Digital Patient-Reported Outcome and Experience Measures — NABH 6th Edition aligned. Multi-department deployment with real-time aggregation and quarterly trend reporting.
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Training Calendar & Competency
12-module annual training calendar, 120+ MCQ question bank, role-based competency assessments with gap analysis, and training effectiveness evaluation — NABH HRM chapter ready.
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Emergency Code Mock Drills
Multi-sheet drill management for 7–9 emergency codes (Code Blue, Code Red, Code Pink, Code Yellow, etc.) with role-specific action cards, NABH FMS chapter alignment, and annual drill calendar.
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QIC Minutes of Meeting
Structured Quality Improvement Committee meeting documentation with agenda templates, attendee tracking, action item follow-up, and CAPA integration — closes NABH CQI non-conformities.
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Non-Conformity & CAPA Tracking
End-to-end NCR workflow — root cause identification, correction, corrective action, preventive action, and effectiveness verification with evidence upload and closure certification.
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Fire Safety & Infection Control
Fire safety compliance reports (UPPCB CCA-aligned), IPC nursing module with 6 data collection streams, hand hygiene audit, bundle compliance, and Gemini-powered clinical advisory.
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NABH Audit Pack & Evidence Reports
Clinical audit reports, Clinical Governance Framework evidence reports, KPI framework documents, and NABH department activity workbooks — all formatted for assessor review with one click.
