NABH Digital Audit Readiness Checklist

Every patient is assigned a permanent, clinic-scoped UHID encoded with barcodes (Code 128 / QR) on wristbands and stationery.

Laboratory and diagnostic critical alert values are verbally read back by the receiving clinician and logged with exact timestamps.

Patients leaving against medical advice sign formal risk-acknowledgment undertakings; trauma and police cases are logged in an MLC register.

Operating theatre executes and timestamps Sign In, Time Out, and Sign Out checklists with non-repudiation electronic sign-offs.

Two clinical staff verify blood bag details at bedside before infusion; 15-minute vitals are monitored and adverse reactions escalate to hemovigilance.

High-Alert Drugs (concentrated KCl, insulin, heparin) and Sound-Alike Look-Alike (LASA) medicines are visually flagged during prescribing and dispensing.

Medication Administration Record enforces dual independent nurse sign-off prior to administering high-alert medications or IV narcotics.

Daily waste weights in kg are recorded by statutory color code (Yellow, Red, White, Blue) and reconciled against authorized CBMWTF manifests.

Annual waste reports are aggregated into statutory Form-IV formats ready for submission to the State Pollution Control Board.

Master register tracks life-support devices, Planned Preventive Maintenance (PPM) schedules, calibration validities, and breakdown tickets.

System automatically calculates Bed Occupancy Rate, ALOS, medication error rates, patient falls, and mortality rates every calendar month.

Quality Committee review notes and corrective action plans are attached directly to finalized monthly indicator snapshots.

Structured, non-punitive incident reporting captures near-misses, sentinel events, and adverse drug reactions with Root Cause Analysis (RCA).

Dedicated digital consent records for surgeries, anesthesia, transfusions, and high-risk procedures capturing patient, doctor, and witness signatures.

Patient complaints are logged with severity, turnaround time (TAT) targets, and hospital committee investigation summaries.