Medical errors have been identified as the greatest safety challenge in India, according to a
study carried out by the National Accreditation Board for Hospitals. The NABH is a
constituent of the Quality Council of India (QCI) and the medication errors highlighted by it
include improper labeling and dosage miscalculations, faulty medical devices, high-incidence
of healthcare-related infections, and patient safety concerns.

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According to the survey results, about 58 percent of nurses reported that they are pressured to
endanger patient safety due to hospital efficiency, while 35 percent of them complained about
inadequate staff and 32 percent acknowledged poor patient safety culture for ineffective
patient safety

Similar concerns were echoed by doctors, 18 percent of whom said they were under pressure
to compromise patient safety to achieve efficiency, while 21 percent said inadequate staffing
was a major problem in health care.

The survey was conducted by NABH in collaboration with NATHEALTH and NABH-
approved interviews for healthcare workers in over 1100 hospitals. The diagnostics
assessments in these hospitals highlighted inadequately trained staff, improper reporting
mechanisms, limited patient understanding of safety protocols, and inconsistent adherence to
the established protocols.

"The evaluation also identified unfair injection practices, such as the reuse of needles and
syringes; medication errors such as mislabeling and dosage errors; faulty medical
devices that can lead to risks of malfunction, injury, and complications; healthcare-
associated. infections and AMR (antimicrobial resistance) high rates, insufficient healthcare
facilities causing hospital overcrowding, compromising patient safety; and fewer public facilities
Jaxay Shah, Chairperson of the Quality and Innovation Council (QCI), shared his vision of
quality and a patient-focused mindset.

In the year 2047, Sankalp Viksit and a prosperous Bharat will be created with quality
healthcare all around. We need to build on the technology and capacity we have developed over
the past ten years to create a system of Integrated Healthcare Delivery and Horizontal
Movement, which will ensure comprehensive patient care irrespective of geographical
location or social status," Shah explained

Dr. Mahesh Verma, President of the National Accreditation Board for Health, pointed out
that this assessment would be a roadmap to developing patient-centric healthcare ecosystems
where safety is paramount.

"Health fraternity members, such as doctors, nurses, and hospital management, will also
benefit from this." Moreover, this will increase the trust of patients in healthcare
professionals"; he added.

While releasing the report, NABH CEO Dr. Atul Mohan Kochhar said, “Based on these
insights, the review recommends a multi-pronged approach to improving patient care safety,
including strengthening leadership and management in patient safety, a centralized data
collection platform and a unified reporting system, promote patient education and awareness,
integrate technology to improve patient safety measures and implement policy reforms with
stronger enforcement mechanisms”.