ASSESSOR KA LOGIC
6 mahine me ek bhi needle-stick, fall, med-error ya near-miss NAHI — statistically unrealistic — matlab ya to staff report nahi karta (blame culture) ya register maintain hi nahi hota. Dono NC hain. JAWAB KA PEHLA HISSA — NIL PROOF: khali register aur nil-entry register me farak hai. ORALZY ka 'No Event Today' button roz event-style registers (NSI, fall, medication-error, referral, fumigation, infection-control, fire-drill) me 'No event reported' completed entry banata hai — ye proof hai ki roz REVIEW hua, event nahi tha. Assessor ko nil entries dikhao. DOOSRA HISSA — NEAR-MISS CULTURE: incident sirf bada accident nahi — near-miss bhi report hota hai (galat file uthai par time par pakda, LA almost-wrong-patient). Staff meeting me bolo: near-miss report karne par appreciation, punishment nahi (non-punitive policy PSQ SOP me hai). 1-2 genuine near-miss reports register me aana healthy pattern hai.
APP ME
incident reporting NABH incident module se karo — rootCause, correctiveAction, capaStatus ke saath; sentinel incident par system khud mock drill + training follow-up banata hai.
CAPA
incident-reporting awareness session (training register entry) + monthly incident-review committee agenda item.