Master Handbook · 5th Edition

The Definitive Guide to
NABH Accreditation

The definitive guide to 5th Edition standards, quality indicators, and digital transformation for Indian hospitals.

QCI/NABH Aligned5th Edition StandardsDigital Quality Engine
The Journey

4 Phases to Accreditation

01

Orientation

Understanding gaps and choosing between Entry Level or Full Accreditation.

02

Implementation

Drafting SOPs, training staff, and deploying quality monitoring systems.

03

Application

Submission of self-assessment toolkit and statutory documents via NABH portal.

04

Assessment

Final on-site verification of standards, objective elements, and clinical data.

10 Standard Chapters

Key Chapters for
Quality Excellence

Structured triage, assessment, and continuity from admission to discharge.

Triage & ER ProtocolsInitial AssessmentDischarge Summaries

Staff Training

Credentialing & HR Compliance

Patient Safety

Incident tracking & HIC surveillance

Indicators

Automated MIS & Quality KPIs

Facility Mgmt

Equipment Maintenance Logs

Tridev × NABH

Your Automated Quality Engine

Automated Indicators

Compute complex NABH KPIs like mortality rates and TATs automatically from live HIS data.

Digital Records (IMS)

Ensure 100% legibility and retrievability of medical records for assessor audits.

Patient Safety Checklists

Embed surgical checklists and allergy alerts directly into doctor workflows.

The Difference

Manual Audit vs Digital Assurance

StandardManual HospitalTridev Enabled
Quality IndicatorsManual Excel SheetsReal-time Dashboards
Medication SafetyPaper ChecklistsAutomated Allergy Alerts
Record AuditsPhysical File RetrievalInstant Digital Search
IMS ComplianceVariable LegibilityStructured Clinical Notes
Readiness Audit

CEO-Level NABH Checklist

Governance

Board adopted Quality Policy
Quarterly Steering Committee meetings
Risk Management Plan

Clinical Safety

Standardized SOPs for all departments
60+ Quality Indicators tracked monthly
Credentialed clinical staff

Facility

Valid Fire NOC & BMW permits
Documented Safety Drills
Medical Equipment Maintenance Logs

Digital (Tridev)

ABDM-Ready EMR implemented
Automated KPI/MIS dashboards
Role-based access controls active

Need a detailed department-specific audit toolkit?

Got Questions?

Accreditation FAQs

Ready to Elevate Quality?

Build a Compliance-First Quality Ecosystem.

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