This is probably the reason why only a small percentage of hospitals in India are NABH compliant. So, what is NABH? The National Accreditation Board for Hospitals and Healthcare Providers (NABH) is a constituent body of the Quality Council of India established to establish and conduct an accreditation program for health organizations. So if NABH doesn`t give you clear instructions, what`s the next option? Indian designers usually refer to the National Building Code. The National Building Code of India (NBC), a comprehensive building code, is a national instrument that provides guidelines for regulating construction activities across the country. It serves as a model code for acceptance by all agencies involved in building construction work, whether it is public construction departments, other state construction departments, local authorities or private construction agencies. The main causes of an increased average time for the systematic distribution of blood and blood components, which is the moment that begins when the order is elevated to the blood and blood component that reaches the clinical unit, were analyzed. It was noted that teaching materials and brochures on the need for blood donation, training and education of clinical staff, including the duty nurse in charge, senior nurses and doctors in clinical departments, were distributed. In addition, the technical staff of the blood storage unit were trained to act immediately when they received the application form for the request for blood and blood components. They have also been trained to maintain quality at every stage, from the blood supply from the mother`s blood bank to the distribution of blood, and to monitor and comply with the standards set out in pharmaceutical and cosmetic regulations. All of this helped shorten the processing time in 2012. Sameer Mehta, Director of Projects at Hosmac, points out that NABH`s role is to ensure a minimum level of quality of health design, and that it`s not just about the infrastructure, but also about the operation – how you run your facility. „The FGI Guidelines for Hospital Planning and Construction are the most commonly used design standard by medical planners, designers and owners of hospitals and ambulatory care facilities abroad. With regard to the accreditation of the Joint Commission International (JCI), one can always refer to the IGF Directive.
On the other hand, nabh does not refer to a specific document. It demands compliance with the laws of the country, attempts to question how patient safety and infection control goals are achieved, and tends to become open. This is where confusion arises as to which baseline to consider,“ he explains. Average time for the production of blood and blood components.  The quality indicator is a measure of transfusion practice and traceability, including confirmation of transfusion, and must be established. Indicator data should be collected and analysed regularly in order to improve quality.  In accordance with target element (f) of NABH Continuous Quality Improvement Standard 3, certain key performance indicators have been identified as mandatory for the monitoring of transfusion of blood and blood products, namely: The NABH accreditation program aims to maintain the quality and safety of collection, processing, analysis and transfusion of blood and blood products. The basis for maintaining quality in blood banks is compliance with accreditation standards and guidelines of the National AIDS Organization (NACO). .
This study was conducted to determine the effectiveness of monitoring core indicators in a blood storage unit of a tertiary care hospital accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH). Four basic indicators were observed and monitored monthly, namely: It was observed that there was an improvement in quality through the monitoring of core indicators with a reduction in the waste of blood and blood components, a reduction in the average time to production of blood and blood components and a lower number of transfusion reactions. Although the study was conducted in a nascent blood storage facility where the consumption of blood and blood components is not too high, the data generated was sufficient to conclude that monitoring the core nabH indicators is a comprehensive approach to data collection and analysis to address transfusion reactions and adverse events associated with blood transfusions. taking corrective and preventive measures for transfusion safety. It also includes key performance indicators that would help hospitals understand the definition, formula and frequency of data collection and monitoring that would help hospitals continuously improve quality (QCIs). Haemovigilance is a quality process aimed at improving the quality and increasing the safety of blood transfusions. It includes and reviews all activities in the blood transfusion chain, from donor to recipient. Monitoring basic indicators is part of the haemovigilance process. This study showed that monitoring basic NABH indicators leads to improved quality and safety of blood transfusion services and reduces the frequency of transfusion reactions.
The National Accreditation Board for Hospitals & Healthcare Providers, abbreviated NABH, is a constituent board of the Quality Council of India (QCI) established to establish and operate accreditation programs for healthcare organizations. It was established in 2005 and is the leading accreditation for hospitals in India.   The 10 chapters of the standard reflect two main aspects of health care, namely patient-centred functions (Chapters 1 to 5) and functions for healthcare organisations (Chapters 6 to 10). . Inadequate storage of blood at room temperature or in refrigerated containers. Table 2 showed that in 2012, the average usage was 97.38%. The use of blood and blood components improved in most months, with comparatively lower consumption in January (85.8%), March (90.5%) and May (92.3%), respectively, than blood waste 14.2%, 9.5%, 7.7%, respectively. 12.5% and the average waste was 2.61%. The maximum number of wastes was 14.25% in January 2012, which was very low compared to the maximum number of wastes in June 2011 (50%). The number of transfusion reactions was zero and the average treatment time for the problem of blood and blood components was 2.55 h.
Application for a blood bag containing 450 ml of blood in paediatric patients, the percentage of waste blood and blood components was calculated by dividing the number of blood products discarded or wasted (unused) by the total number of blood and blood products removed from the blood bank, if the hospital does not have its own blood bank, and has multiplied it by 100. The guide provides a better interpretation of the standards, which aims to help hospitals implement the standards. Some quality indicators are mandatory to maintain and improve the quality of blood transfusion. These indicators should be monitored regularly and deficiencies should be addressed for effective blood transfusion services. Explore the usefulness of monitoring the core indicators of the National Accreditation Council for Hospitals and Healthcare Providers (NABH) in blood transfusions and in maintaining haemovigilance. .