Our consultancy scope for NABH
Eye Care Accreditation is governed by the 3rd Edition Standards for Eye Care
Providers. This accreditation focuses on specialized ophthalmic surgical safety
and high-volume outpatient efficiency.
A specialized eye care consultancy
provides the following scope of service:
1.
Specialized Infrastructure & OT Standards
OT Air Quality: Ensuring Ophthalmic
Operation Theaters meet specific air exchange and HEPA filter requirements to
prevent endophthalmitis.
Zoning Compliance: Verifying strict
separation of sterile (Operating Zone) and non-sterile areas (Refraction and
Diagnostics).
Sterilization Protocols: Implementing SOPs
for specialized eye instruments, including "Flash" vs.
"Standard" sterilization and ultrasound cleaner validation.
2.
Clinical Protocols & Surgical Safety
Site Marking: Implementing the WHO Surgical
Safety Checklist adapted for ophthalmology, with a critical focus on
"Correct Eye" marking.
Ophthalmic Pharmacy: Ensuring proper
storage of multi-dose eye drops (28-day discard policy) and
temperature-sensitive biologics.
Diagnostic Precision: Validating the
calibration of diagnostic equipment like A-scans, Perimeters, and OCT machines.
3.
Quality Indicators for Eye Care (2026 Metrics)
Consultants establish tracking systems for
mandatory ophthalmic indicators:
Post-Operative Endophthalmitis Rate: The
primary safety metric for eye centers.
Visual Outcome Monitoring: Tracking the
percentage of patients achieving 6/12 or better vision post-cataract surgery.
PCR (Posterior Capsule Rupture) Rate:
Monitoring surgical complication frequencies.
Re-surgery Rate: Tracking unplanned
returns to the OT within 48 hours.
4.
Statutory & Regulatory Support
Registration: Managing the hospital's
status under the Clinical Establishments Act.
Drug Licenses: Ensuring the pharmacy holds
valid Retail and Wholesale (if applicable) licenses.
BMW Management: Specialized training for
disposal of sharp ophthalmic needles and micro-blades.
5.
Desktop Assessment (DA) & Digital Support
NABH Portal Uploads: Compiling the
Self-Assessment Toolkit (SAT) specifically for Eye Care Providers.
Visual Evidence: Uploading geotagged
photos of the Sterilization (CSSD) area, the OT scrub station, and the patient
counseling area for "Informed Consent."
Credentialing: Managing the registration
and qualification documents of
Ophthalmologists and Optometrists.
6.
Training & Mock Drills
Emergency Drills: Training staff on
"Code Blue" specifically within the OT or during diagnostic
procedures (e.g., managing reactions to FFA contrast dye).
Consent Counseling: Training staff to explain
surgical risks and visual prognosis, ensuring documentation meets NABH Eye Care
Standards.
Hand Hygiene: Intensive training on the
"WHO 5 Moments" specifically for high-volume outpatient departments
(OPD).
7.
Final Assessment & NC Closure
Tracer Methodology: Conducting mock audits
that follow a patient from the initial vision check (Refraction) through
surgery to the final discharge.
NC Resolution: Assisting the clinic in
closing any Non-Conformities (NCs) within the 15-day window to secure the final
accreditation certificate.
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