Quality Nurse

Job Summary

The Quality Nurse is responsible for implementing, monitoring, and improving patient care quality and safety standards in compliance with NABH and JCI accreditation requirements. The role ensures adherence to clinical protocols, patient safety goals, infection control practices, and continuous quality improvement initiatives.

2. Key Responsibilities

A. Accreditation & Compliance

• Ensure compliance with NABH and JCI standards across all nursing units

• Participate in accreditation preparation, internal audits, and external assessments

• Maintain documentation required for audits and inspections

• Assist in policy formulation and standard operating procedures (SOPs)

B. Quality Monitoring & Improvement

• Monitor key quality indicators (e.g., medication errors, falls, infection rates)

• Conduct regular audits (clinical, nursing documentation, patient safety)

• Analyze data and prepare quality reports and dashboards

• Implement corrective and preventive actions (CAPA)

C. Patient Safety

• Promote International Patient Safety Goals (IPSG)

• Report and analyze adverse events, sentinel events, and near misses

• Conduct root cause analysis (RCA) and ensure closure of incidents

• Ensure safe medication practices and patient identification protocols

D. Infection Control

• Collaborate with infection control team for surveillance activities

• Monitor hand hygiene compliance and biomedical waste management

• Participate in infection prevention audits and training

• Ensure adherence to sterilization and disinfection protocols

E. Training & Education

• Conduct training sessions for nursing and clinical staff on quality standards

• Educate staff on NABH/JCI requirements and updates

• Participate in induction and continuous nursing education programs

• Develop training materials and competency assessments

F. Documentation & Records

• Ensure accurate and complete nursing documentation

• Maintain audit records, incident reports, and compliance logs

• Review patient records for quality and legal compliance

• Standardize formats and ensure version control of documents

G. Patient Experience & Feedback

• Monitor patient satisfaction scores and feedback

• Participate in grievance redressal mechanisms

• Implement initiatives to improve patient experience

• Support patient-centered care practices

H. Coordination & Communication

• Liaise between nursing staff, doctors, and quality department

• Participate in quality meetings, committees, and reviews

• Support interdisciplinary teamwork for quality initiatives