Gnyan Dental Healthcare Services Provider (DHSP) - NABH Standards Summary

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Dental Healthcare Services Provider (DHSP) – NABH Standards Summary

# Standards No of Elements
1. Chapter 1 – Access, Assessment and continuity of care
AAC1. Define and display of services that you can provide 3
AAC2. Registration, admission, transfer or referral policy 5
AAC3. Process of initial assessment 6
AAC4. Continuity of care and definition of reassessment 4
AAC5. Clinical Lab Services provision 6
AAC6. Laboratory Safety Program 4
AAC7. Provision of imaging services 9
AAC8. Maintenance of OPD records of patients 5
AAC9. Discharge process 6
TOTAL 48
2. Chapter 2 – Care of patients
COP1. Care of patients as per guidelines 4
COP2. Emergency Services 6
COP3. Requirements of CPR 3
COP4. Rational Use of blood and blood products 3
COP5. Guide of Dental Laboratory 8
COP6. Care of vulnerable patients 3
COP7. Care of pediatric dental patients 4
COP8. Guidelines for administering anesthesia 7
COP9. Care of patients undergoing surgical procedures 10
COP10. Pain management guidelines 6
TOTAL 54
3. Chapter 3 – Management of Medication
MOM1. Organization of pharmacy, usage of medication and dental material 9
MOM2. Prescription of medication 5
MOM3. Dispensing of medication 3
MOM4. Medication administration and adverse drug reaction management 7
MOM5. Use of implantable prosthesis 3
MOM 6. Use of medical gasses 3
TOTAL 30
4. Chapter 4 – Patients’ Rights and Education
PRE1. Informing patients of their rights and responsibilities 4
PRE2. Patient’ values and accommodating their beliefs 10
PRE3. Informed Consent and its documentation 5
PRE4. Informing costs 3
TOTAL 22
5 Chapter 5 – Hospital Infection Control
HIC1. Comprehensive HIC program available 4
HIC2. Availability of infection control manual 9
HIC3. Prevent hospital associated infections to patients and employees 2
HIC4. Facilities for supporting infection control 3
HIC5. Documented sterilization procedure 3
HIC6. BMW management and handling 7
HIC7. HIC staff training 8
TOTAL 36
Gnyan ATHENA Knowledge Solutions

6. Chapter 6 – Continuous quality improvement


CQI1. Structured quality improvement and monitoring program 7
CQI2. Key indicators for clinical structures 11
CQI3. Key indicators for management structures 9
CQI4. Management support for CQI 3
CQI 5. Audit for patient care services 5
CQI6. Management and monitoring of sentinel events 3
TOTAL 38
7. Chapter 7 – Responsibility of Management
ROM1. Management responsibilities defined 6
ROM2. Services are documented 4
ROM3. Ethical Management 6
ROM4. Organization head 2
ROM5. Patient safety and risk is integral to patient care and hospital management 3
TOTAL 21
8. Chapter 8 – Facility management and safety
FMS1. Compliance with law 3
FMS2. Organizations environment is patient, staff and visitor safe 7
FMS3. Equipment management 5
FMS4. Safe electricity, water, medical gasses and vacuum system 4
FMS5. Fire and non-fire emergency management 4
FMS6. Hazardous material management 4
FMS7. Environment safety and security 6
TOTAL 34
9. Chapter 9 – Human Resources Management
HRM1. Well documented HR planning methods 3
HRM2. Staff induction 3
HRM3. Continuous training and development 6
HRM4. Appraisal system 4
HRM5. Grievance handling system 5
HRM6. Employee health needs 4
HRM7. Personnel Records 4
HRM8. Credential evaluation of medical staff 3
HRM9. Admission and patient treatment process 3
HRM10. Credential evaluation of nursing staff 2
HRM11. Dental support staff 2
TOTAL 39
10. Chapter 10 – Information Management System
IMS1. Mature information management system existence 4
IMS2. Place for data management 4
IMS3. Accurate Medical records management 6
IMS4. Records’ reflection of continuity of care 6
IMS5. Confidentiality, integrity and security of records 5
IMS6. Time lines for retention of records, data and information 3
IMS7. Review of medical and dental records 7
TOTAL 35
TOTAL NUMBER OF OBJECTIVE ELEMENTS 357

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