The document lists 13 committees that are important for a hospital seeking accreditation from NABH or JCI. The committees meet with varying frequencies from monthly to yearly and are chaired by senior staff such as the Chairman, Medical Director, and Safety Officer. The committees include members from departments like Quality, Nursing, Pharmacy to oversee functions such as safety, infection control, mortality, ethics, and blood transfusion.

1. IMPORTANT COMMITTEE LIST for a hospital going for
NABH /JCI
By Dr.Mahboob ali khan Phd
S.No Committee Frequency Chairs Members
1. Leadership committee Quarterly Chairman All HODS
2. Safety Committee Monthly Safety officer All HOD
3. Quality Management
Committee
Monthly Quality GM All HOD and QI
Team
4. Infection Control Committee Monthly Microbiologist Microbiologist,
ICN,ICO,QI
5. Grievance redressal
committee
Half yearly Executive
director
HR,Medical
director,Nursing
Director
6. Mortality and morbidity
Committee
Monthly medical director Intensivist,
surgeon, Nursing
director,QI
7. Ethical committee Yearly Medical director Physician,governing
board,other person
(ex -officio)
8. Medical record review
committee
Monthly medical director Surgeon, intensivist
and nusing director
9. Pharmacy and therapeutic
committee
Monthly Medical director surgeon ,physician,
pharmacist
10. Medical Management
Committee
Quarterly Medical Director Clinicians, Nursing
Director
11. Purchase and condemnation
committee
Half yearly Chairman CEO, medical
director
12. Operating room committee Monthly Medical Director Surgeons, nursing
director
13. Blood transfusion committee Quarterly Medical director Blood bank
HOD,Nursing
Director
14. Code Blue Committee Monthly Medical director CPR Team ,NS