Diagnosis: NABH → NABH → NABH Hub → KPI Analysis me har metric ka target + direction (lower / higher is better) hota hai; target ke galat taraf 20% se zyada = Breach.
Karo:
- Dono mahino ki honest value KPI Analysis me cell kholkar daalo. Breach chhupane ke liye number badalna integrity NC hai.
- Breach save hote hi app ek CAPA row khud kholta hai ("KPI <CODE> <month>") — NABH Registers → Corrective & Preventive Action Register me root cause, corrective, preventive, owner, target date bharo.
- Quality Assurance Committee ki aane wali meeting schedule ho to breach ki line uske agenda me khud judti hai; meeting me discuss karke KPI drawer ke "Reviewed in Quality Assurance committee" me wo meeting chuno.
- KPI drawer me Analysis aur Action plan likho taaki "Analysis pending" hat jaaye.
Aage se: Har mahine Auto-fill + Review panel check, aur QA meeting me KPI standing agenda.
Edge case: Safety KPI (jaise sterilization failure) par breach ho to turant operational fix bhi zaroori, sirf paper CAPA nahi.