Diagnosis: NABH Hub → Master Lists → Quality Metrics (KPI) me har metric ka target + direction (lower/higher is better) hota hai. Do mahine target ke galat taraf = breach.
Karo:
- Dono mahino ki honest value KPIEntry me daalo (NABH Hub → KPI → month-wise). Breach chhupane ke liye number badalna integrity NC hai.
- Breach ko Quality Assurance Committee meeting me discuss karo (NABH Hub → Team → Committee Meetings) — root cause + corrective action item ke saath.
- NABH Hub → Registers → capa me is KPI ke liye CAPA khol do: kyun breach hua, kya kar rahe ho, target kab tak recover.
App me: KPI register trend graph dikhata hai — do mahine breach ke baad tisre mahine improvement chain assessor ko impressive lagti hai.
Aage se: Har mahine KPI enter karo (Auto-Pilot 'X KPIs baki' task reminder deta hai). Committee monthly review me KPIs standing agenda ho.
Edge case: Agar KPI safety-linked hai (e.g. sterilization failure rate) to breach par turant operational fix bhi zaroori, sirf paper CAPA nahi.