Quality Management
NABH/JCI quality indicators, incidents, and CAPA tracking
Medication Error Rate
0.8/1000
Target: ≤1.0
↓ improved
Fall Rate
1.2/1000
Target: ≤1.5
→ stable
Hospital Readmission (30d)
4.2%
Target: ≤5%
↓ improved
Patient Satisfaction
4.4/5
Target: ≥4.0
↑ improved
Discharge Summary TAT
18.4 hrs
Target: ≤24 hrs
→ stable
Surgical Site Infection Rate
1.8%
Target: ≤2%
↓ improved
Patient Satisfaction Score (Monthly)
Open CAPA Items
Medication reconciliation SOP update
CAPA-041 · CNO · Due 30 Jun 2026
In Progress
Fall prevention bundle implementation
CAPA-039 · NM Ward 2 · Due 15 Jul 2026
Open
Discharge checklist compliance training
CAPA-037 · Med Director · Due 01 Jul 2026
In Progress