The document discusses the National Accreditation Board for Hospitals & Healthcare Providers (NABH) and its Nursing Excellence certification program. It provides an overview of NABH, including that it has 10 chapters, 100 standards, and 683 objective elements. It then describes NABH Nursing Excellence, which contains 7 chapters and 48 standards focused on evaluating nursing services. The chapters cover topics like nursing resource management, nursing care of patients, management of medication, and nursing quality indicators. Obtaining NABH Nursing Excellence certification provides benefits like ensuring quality nursing care and services as well as opportunities for professional growth.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
Access, Assessment and Continuity of Care (AAC) NABHDr Joban
This ppt is prepared on the basis of the NABH standards (2nd edition).it contains simple presentation of chapter 1 Access, Assessment and Continuity of Care (AAC). It may be useful for the trainers, AHCOs and the Vaidyas who are undergoing NABH accreditation.
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
Basics of nursing initial assessment needed to be done when a patient is received in the department. Done by the registered nurse, initial assessment is the basis on which further care is planned.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International-Patient-Safety-GoalsGoal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
NABH accreditation is voluntary process and no need to be anxious. NABH has made it very easy. It is good to send one of the responsible executive to undergo POI training program by NABH. Details are available at www.nabh.co.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
Access, Assessment and Continuity of Care (AAC) NABHDr Joban
This ppt is prepared on the basis of the NABH standards (2nd edition).it contains simple presentation of chapter 1 Access, Assessment and Continuity of Care (AAC). It may be useful for the trainers, AHCOs and the Vaidyas who are undergoing NABH accreditation.
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
Basics of nursing initial assessment needed to be done when a patient is received in the department. Done by the registered nurse, initial assessment is the basis on which further care is planned.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International-Patient-Safety-GoalsGoal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
NABH accreditation is voluntary process and no need to be anxious. NABH has made it very easy. It is good to send one of the responsible executive to undergo POI training program by NABH. Details are available at www.nabh.co.
A NURSE IS A…..
Patient care consultant
Educator
Manager
Recruiter
Therapist
Researcher
Administrator
Case manager
The list goes on…
A simple definition
FIVE RIGHTS
THE RIGHT PATIENT,
AT THE RIGHT TIME,
IN THE RIGHT SETTING,
RECEING THE RIGHT CARE
AT THE RIGHTTIME
IN THE RIGHTCOST.
Quality assurance
“Quality assurance as the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activities”. (Bull, 1985)
Quality assurance is the defining of nursing practice through well written nursing standards and the use of those standards as a basis for evaluation on improvement of client care (Maker 1998).
QA in nursing comprise of set of related elements such as
planning for quality,
development of objectives setting and
actively communicating standards,
developing indicators,
setting thresholds,
collecting data to monitor compliance with set standards for nursing practice
and applying solutions to improve care
UALITY ASSURANCE PROCESS:
Establishment of standards or criteria
Identify the information relevant to criteria
Determine ways to collect information
Collect and analyze the information
Compare collected information with established criteria
Make a judgment about quality
Provide information and if necessary, take corrective action regarding findings of appropriate sources
Determine ways to communicate the information
1) Credentialing:
2) Licensure:
3) Accreditation:
3)CERTIFICATION
1) Credentialing
It is the formal recognition of professional or technical competence and attainment of minimum standards by a person or agency. According to Hinsvark (1981) credentialing process has four functional components
a) To produce a quality product
b) To confer a unique identity
c) To protect provider and public
d) To control the profession.
2) Licensure
Individual licensure is a contract between the profession and the state, in which the profession is granted control over entry into and exists from the profession and over quality of professional practice. The licensing process requires that regulations be written to define the scopes and limits of the professional’s practice.
3) Accreditation:
The indian nursing council has established standards for inspecting nursing education’s programs in india(NLN-US). In the part the accreditation process primarily evaluated on agency’s physical structure, organizational structure and personal qualification
4. Certification
Certification is usually a voluntary process with in the profession. A person’s educational achievements, experience and performance on examination are used to determine the person’s qualifications for functioning in an identified specialty area.
A nursing care standard
is a descriptive statement of desired quality against which to evaluate nursing care.
It is guideline. A guideline is a recommended path to safe conduct, an aid to professional performance.
A NURSE IS A…..
Patient care consultant
Educator
Manager
Recruiter
Therapist
Researcher
Administrator
Case manager
The list goes on…
A simple definition
FIVE RIGHTS
THE RIGHT PATIENT,
AT THE RIGHT TIME,
IN THE RIGHT SETTING,
RECEING THE RIGHT CARE
AT THE RIGHTTIME
IN THE RIGHTCOST.
Quality assurance
“Quality assurance as the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activities”. (Bull, 1985)
Quality assurance is the defining of nursing practice through well written nursing standards and the use of those standards as a basis for evaluation on improvement of client care (Maker 1998).
QA in nursing comprise of set of related elements such as
planning for quality,
development of objectives setting and
actively communicating standards,
developing indicators,
setting thresholds,
collecting data to monitor compliance with set standards for nursing practice
and applying solutions to improve care
UALITY ASSURANCE PROCESS:
Establishment of standards or criteria
Identify the information relevant to criteria
Determine ways to collect information
Collect and analyze the information
Compare collected information with established criteria
Make a judgment about quality
Provide information and if necessary, take corrective action regarding findings of appropriate sources
Determine ways to communicate the information
1) Credentialing:
2) Licensure:
3) Accreditation:
3)CERTIFICATION
1) Credentialing
It is the formal recognition of professional or technical competence and attainment of minimum standards by a person or agency. According to Hinsvark (1981) credentialing process has four functional components
a) To produce a quality product
b) To confer a unique identity
c) To protect provider and public
d) To control the profession.
2) Licensure
Individual licensure is a contract between the profession and the state, in which the profession is granted control over entry into and exists from the profession and over quality of professional practice. The licensing process requires that regulations be written to define the scopes and limits of the professional’s practice.
3) Accreditation:
The indian nursing council has established standards for inspecting nursing education’s programs in india(NLN-US). In the part the accreditation process primarily evaluated on agency’s physical structure, organizational structure and personal qualification
4. Certification
Certification is usually a voluntary process with in the profession. A person’s educational achievements, experience and performance on examination are used to determine the person’s qualifications for functioning in an identified specialty area.
A nursing care standard
is a descriptive statement of desired quality against which to evaluate nursing care.
It is guideline. A guideline is a recommended path to safe conduct, an aid to professional performance.
NABH 5th edition hospital std april 2020anjalatchi
A. National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a constituent board of Quality Council of India (QCI), set up to establish and operate accreditation programme for healthcare organizations.
Much is being discussed about evidence based Ayurveda or Ayurveda doesn't has quality standards, neither has protocols or SOPs for drugs, treatment, hospitals and its procedural specialties like Panchkarma and Ksharsutra.
Now Department of ayush engaged quality council of India and NABH for voluntary certification of quality for- ASU products on the basis of third party evaluation. NABH- National accreditation board for health services laid down certain accreditation standards for Ayurveda Hospitals.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
1. INTRODUCTION TO NABH &
NURSING EXCELLENCE
CERTIFICATION
MATHEW VARGHESE V
MSN(RAK),FHNP (CMC Vellore),CCEPC,CSTPN
Nursing officer
AIIMS Delhi
2. WHAT IS NABH?
Full form of NABH is National Accreditation Board
for Hospitals & Healthcare Providers
It is an accreditation body or certification body for
ensuring quality of health care services
It is a constituent board of Quality Council of India,
set up to establish and operate accreditation
programme for healthcare organizations.
3. OVERVIEW OF NABH
10 chapters
100 standards
683 objective elements
Each accreditation standard is a statement of an
expectation or requirement which makes it possible
to deliver quality care.
Objective element are sub components of
standards.
4. 10 CHAPTERS
1. Access, Assessment
and Continuity of Care
(AAC)
2. Care of Patients (COP)
3. Management of
Medication (MOM)
4. Patient Rights and
Education (PRE)
5. Hospital Infection
Control (HIC)
1. Continuous Quality
Improvement (CQI)
2. Responsibilities of
Management (ROM)
3. Facility Management
and Safety (FMS)
4. Human Resource
Management (HRM)
5. Information
Management System
(IMS)
Patient Centered
Standards:
Organization Centered
Standards:
5. NABH – NURSING EXCELLENCE
Exclusive accreditation of nursing service by NABH
NABH Nursing Excellence contains complete set of
standards for evaluation of nursing service for grant
of certification.
These standards provide framework for quality of
care for patients and quality improvement for
nursing services.
It also serve as guidelines to nurse administrators
and supervisors for supporting and facilitating safe,
competent and ethical nursing practices
6. BENEFITS TO THE CLIENTS
Good health outcomes.
Client satisfaction.
Value for money
Less frustration.
No Medical Errors
7. BENEFITS TO THE HEALTH INSTITUTION
Patients become more satisfied with the services.
More patients may use our services.
The environment will become clean and beautiful.
The facility will have a good reputation.
8. BENEFITS TO THE HEALTH INSTITUTION
This certification programme stimulates continuous
improvement
It enables Hospital in demonstrating commitment
to quality care.
It raises community confidence in the services
provided by the hospital
It also provides opportunity to healthcare unit to
benchmark with the best.
9. BENEFITS FOR NURSING STAFF
An environment that recognizes and rewards
competence
Professional growth and development by
educational opportunities and support
A structure that encourages decision making at the
bedside over clinical issues
High job satisfaction
Low turnover and more stability
10. BENEFITS FOR NURSING STAFF
Focus on professional autonomy
Enhanced Interdisciplinary collaboration
Professional growth opportunities
Leadership opportunities
Opportunity to practice professional nursing with strong
interdisciplinary teamwork that support autonomous
practice of nursing
A culture that supports you to be the best nurse you can
be!
12. OUTLINE OF NABH NURSING EXCELLENCE
CHAPTERS
1. Nursing Resource Management (NRM).
2. Nursing Care of Patient (NCP).
3. Management of Medication (MOM).
4. Education, Communication and Guidance
(ECG).
5. Infection Control Practices (ICP).
6. Empowerment and Governance (EG).
7. Nursing Quality Indicators (NQI).
13. CHAPTER 1
NURSING RESOURCE MANAGEMENT
(NRM)
NRM.1: The organization has a documented system of
nursing resource planning
NRM.2: The organization has structures and processes for
induction and for enhancing the transition of novices to
competent nursing professionals.
NRM.3: The organization has processes in place for induction
training, In-service education and Continuous Nursing
Education (CNE) programmes and for documentation of the
same in the personal files.
NRM.4: There is a process for credentialing and privileging of
nursing professionals, permitted to provide patient care
without supervision.
14. NURSING RESOURCE MANAGEMENT
(NRM)
NRM.7: There is an established process in place to
identify and manage problems related to
incompetent, unsafe or unprofessional conduct.
NRM.8: The organization demonstrates workplace
safety for nursing professionals (including change
rooms, washrooms & dining facilities).
NRM.9: The organization has a documented and
established grievance handling system.
15. CHAPTER 2
NURSING CARE OF PATIENTS (NCP)
NCP.1: A Nursing Manual shall be established and
reviewed periodically as defined by HCO
NCP.2: The initial assessment shall be done by the
nursing professionals in predetermined format at
prescribed time and/or as per the needs of the patients.
NCP.3: The reassessment shall be done by the nursing
professionals in a predetermined format at prescribed
time.
16. NURSING CARE OF PATIENTS (NCP)
NCP.4: For provision of nursing care, appropriate
number of nursing professionals shall be
maintained as per workload.
NCP.5: The nursing care planned and provided by
the nursing professionals is recorded.
NCP.6: The nursing care is individualized to
address the needs of patient and family.
17. NURSING CARE OF PATIENTS (NCP)
NCP.7: Information is exchanged and documented
during each staffing shift, between shifts, and during
transfers between units/departments.
NCP.8: There shall be established policies and protocols
for vascular access devices. (VADs).
NCP.9: The nursing care of inpatients shall be
supervised by senior nursing professionals.
NCP.10: The nursing care of vulnerable patients (elderly,
children, physically and/or mentally challenged) shall be
supervised by senior nursing professionals.
18. NURSING CARE OF PATIENTS (NCP)
NCP.11: The nursing care of patients under
restraints (physical and/or chemical) shall be
supervised by senior nursing professionals.
NCP.12: Appropriate pain management practices
shall be supervised by senior nursing professionals.
NCP.13: Appropriate end of life care shall be
provided to patients needing the same by the
nursing professionals.
19. CHAPTER 3
MANAGEMENT OF MEDICATION
(MOM)
MOM.1: Indenting of required medication and
stores will be done and supervised by nursing staff
made responsible for this function. Storage of
medication in the wards and other therapeutic
areas shall be supervised by responsible nursing
professionals.
MOM.2: The dispensing, administration and
accounting of medicines shall be carried out by the
concerned personnel and should be appropriately
supervised by senior nursing staff.
20. MANAGEMENT OF MEDICATION
(MOM)
MOM.3: The monitoring of patients after medication
administration is supervised by responsible
personnel.
MOM.4: The nursing professionals must report near
misses, medication errors and adverse drug events
as per the policy of the HCO for analysis by the
appropriate staff predefined and identified by the
HCO. Feedback is provided to staff which includes
the results of analysis and recommended
preventive measures for implementation by the
nursing staff wherever appropriate
21. MANAGEMENT OF MEDICATION
(MOM)
MOM.5: The organization shall ensure that it has a
policy on verbal orders which will be applicable to
doctors, nursing professionals and technicians
uniformly.
22. CHAPTER 4
EDUCATION, COMMUNICATION AND GUIDANCE
(ECG)
ECG.1: The organization shall ensure that nursing
professionals are trained in communication skills.
ECG.2: Nursing professionals are aware of their
responsibility in protecting patient rights.
ECG3: Nursing professionals communicate as and
when required with relevant team members to achieve
continuity of care.
ECG.4: Patient and family are educated where essential
and in case of any change in nursing care plan.
23. CHAPTER 5
INFECTION CONTROL PRACTICES
(ICP)
ICP.1: Infection control nurse (s) shall be
designated by the organization
ICP.2: Nursing professionals shall adhere to
standard precautions and hand hygiene guidelines
at all times.
ICP.3: The nursing professionals shall adhere to
handling, storage and disposal of bio medical waste
as per the bio medical waste management Act,
1998
24. INFECTION CONTROL PRACTICES
(ICP)
ICP.4: The designated nursing staff shall perform
surveillance activities to capture and monitor
infection control and prevention data.
ICP.5: Isolation (barrier and reverse barrier nursing)
practices shall be supervised by senior nursing
professionals.
ICP.6: Infection Control Nurse maintains records of
all occupational injuries and pre- and post exposure
prophylaxis.
25. CHAPTER 6
EMPOWERMENT AND GOVERNANCE (EG)
EG.1: The responsibilities of those responsible for
nursing management are defined.
EG.2: The Head of the Nursing service ensures
that suitable mechanisms exist to govern the
nursing Service.
EG.3: Nursing professionals are involved and
participate in decision making related to
organization and nursing services.
26. EMPOWERMENT AND GOVERNANCE
(EG)
EG.4: The Management empowers nursing staff.
EG.5: The organization has an established
process for proactive risk assessment and error
management.
EG.6: The infection control programme is
supported by the management and includes
training of staff.
27. CHAPTER 7
NURSING QUALITY INDICATORS
(NQI)
NQI.1: There is a structured quality improvement and continuous
monitoring program for nursing service.
NQI.2: The organization identifies key indicators to monitor the
structures, processes and outcomes, which are used as tools for
continual improvement for nursing service.
NQI.3: The nursing quality improvement programme is supported
by the management.
NQI.4: There is an established system for nursing audit.
NQI.5: Incidents, complaints and feedback from nursing
professionals are collected and analysed to ensure continual
quality improvement.
28. PREPARING FOR NURSING
EXCELLENCE CERTIFICATION
Strong Commitment
A definite plan of action – Strategy
An official nomination of Nursing Excellence programme
Coordinator (Preferably from nursing)
Procure a copy of Nursing Excellence standards
Self-assessment against NABH standards at least 3
months before submission of application is must