Manager – Quality & Patient Safety (NABH)

About the role

The Manager, Quality & Patient Safety will lead the hospital's quality and patient safety programme, ensuring continuous NABH compliance and embedding quality into daily operations across all departments.

Key responsibilities

• Maintain NABH compliance and lead preparation for surveillance assessments and re‑accreditation.
• Develop, review, and update SOPs, policies, and documentation for all departments.
• Plan and conduct internal audits, clinical audits, mock drills, and patient‑safety rounds, tracking corrective and preventive actions to closure.
• Manage incident, near‑miss, and sentinel event reporting, including root‑cause analysis.
• Monitor quality indicators and patient‑safety metrics, presenting trends and gaps to senior leadership.
• Collaborate with infection control, nursing, pharmacy, and clinical teams on medication safety, hand hygiene, and safe surgical practices.
• Support patient rights, consent, and grievance processes in partnership with Patient Services.
• Train staff on quality standards, documentation, and safety practices, including induction for new joiners.

Required profile

• 5–6 years of experience in hospital quality or NABH compliance.
• Hands‑on experience in a NABH‑accredited hospital, ideally through a full assessment cycle.
• Strong knowledge of NABH standards, internal audits, and documentation systems.
• Experience with root‑cause analysis, CAPA, and quality‑improvement methods such as PDCA, Lean or Six Sigma.
• Excellent training, coordination and communication skills with confidence to work with senior clinicians.
• Comfort with data analysis and reporting.

Required skills

• Root cause analysis
• CAPA (Corrective and Preventive Action)
• PDCA methodology
• Lean methodology
• Six Sigma

What we offer

• Competitive compensation commensurate with experience.
• A key role with direct access to senior leadership.
• Opportunity to shape quality systems in a growing hospital.
• Location: Vadodara, Gujarat.