Protocols and Continuous Quality Improvement

Quality Is Not an Accident — It Is a Way of Life

At Suraj Eye Institute, quality is not a department or a checklist — it is embedded in every action taken by every member of our team, from the moment a patient registers at our front desk to the final step of their post-operative follow-up. Our system of clinical protocols and continuous quality improvement ensures that every patient, at every visit, receives care that is consistent, safe, and held to the highest measurable standard.

A Protocol for Every Step of Your Care

Protocols are the written, agreed-upon standards that govern how our clinical team acts in every situation. They remove ambiguity, reduce the risk of error, and ensure that excellence does not depend on any single individual — it is built into the system itself. At Suraj Eye Institute, formal protocols are in place for every stage of the patient journey:

  • Registration and Patient Identification — Ensuring accurate identity verification from the first point of contact to prevent any confusion in records or treatment.
  • History Taking and Clinical Examination — Structured, comprehensive documentation of each patient’s symptoms, past history, allergies, systemic conditions, and current medications.
  • Refraction and Optical Assessment — Standardised testing protocols ensuring reproducible, accurate visual assessments at every visit.
  • Diagnostic Testing — Clear criteria for when and how investigations — OCT, visual fields, corneal topography, biometry, and more — are ordered, performed, and interpreted.
  • Pre-operative Assessment and Counselling — Every patient undergoing a procedure is evaluated against a structured pre-operative protocol, with informed consent documented systematically.
  • Operating Theatre Protocols — Surgical safety checklists, instrument sterilisation standards, team briefings, and site verification procedures aligned with international surgical safety standards.
  • Post-operative Follow-Up — Defined follow-up schedules, warning sign criteria, and escalation pathways to ensure that recovery is monitored and problems are caught early.
  • Medication and Prescription Safety — Drug allergy alerts, dosage verification, and prescription documentation to minimise medication errors.
  • Infection Control — Hospital-wide sterilisation, hand hygiene, and environmental hygiene protocols to protect every patient from healthcare-associated infections.

Continuous Quality Improvement — Never Standing Still

Protocols alone are not enough — they must be tested, measured, and improved. Our Continuous Quality Improvement (CQI) programme generates data at every level of clinical operations and uses that data to drive meaningful change. Regular internal audits assess whether protocols are being followed, outcomes are meeting benchmarks, and patients are satisfied with their experience. Where gaps are identified, corrective actions are implemented and re-audited.

Key quality indicators tracked at Suraj Eye Institute include surgical outcomes and complication rates, patient waiting times and appointment adherence, re-admission and re-operation rates, infection surveillance data, and patient feedback and satisfaction scores. These metrics are reviewed regularly by clinical leadership, and our teams take collective responsibility for continuous improvement — not because we are required to, but because our patients deserve nothing less.

NABH Accreditation — India’s Highest Standard of Hospital Quality

The National Accreditation Board for Hospitals & Healthcare Providers (NABH), a constituent board of the Quality Council of India (QCI), is India’s premier body for hospital accreditation. NABH accreditation is not simply an award — it is a rigorous, independent, third-party evaluation of a hospital’s systems, processes, patient safety practices, clinical outcomes, and staff competencies against internationally benchmarked standards.

To achieve and maintain NABH accreditation, a hospital must demonstrate excellence across more than 100 standards — covering patient rights, clinical care, infection control, medication management, continuous quality improvement, facility management, and human resource practices. Accreditation is not permanent: hospitals are re-assessed regularly to ensure standards are continuously maintained.

Both campuses of Suraj Eye Institute — New Colony and MIHAN — are proud to hold NABH Accreditation. This means that every patient who walks through our doors can trust that they are receiving care in a hospital independently verified to meet India’s highest quality and safety standards.

What NABH Accreditation Means for You as a Patient

  • Your rights are protected. NABH standards mandate that patients are informed, involved in their care decisions, and treated with dignity and respect at all times.
  • Your safety is a system priority. From surgical safety checklists to medication verification and infection control, safety is built into every process — not left to chance.
  • Your care follows evidence-based protocols. Treatments and procedures are guided by clinical standards, not individual preferences, ensuring consistency and predictability of outcomes.
  • You are in a hospital that is committed to improvement. NABH hospitals must demonstrate ongoing quality improvement — meaning the care you receive is always evolving to be better.
  • Your care can be independently verified. Our accreditation certificates, including their certificate numbers, are verifiable on the NABH website (nabh.co), giving you complete transparency.

Our NABH Accreditation Certificates

New Colony Campus — NABH Accredited

Certificate No. ECO-2021-0241  |  Valid: December 30, 2024 – December 29, 2027
559, New Colony, Nagpur – 440001, Maharashtra


MIHAN Campus — NABH Accredited

Certificate No. ECO-2025-0624  |  Valid: November 27, 2025 – November 26, 2028
Plot No. 6, MIHAN SEZ, Nagpur – 440018, Maharashtra

 

 


Our Team — Proud to Be NABH Accredited

NABH accreditation is not something a hospital achieves — it is something a team achieves, together. Every doctor, nurse, technician, and staff member at Suraj Eye Institute contributed to this recognition. We are proud of what we have built, and we are proud to share it with our patients.

📸 Team Photograph — Coming Soon
A photograph of the Suraj Eye Institute clinical team proudly holding the NABH certificate will be placed here.
This image will reflect our collective commitment to quality, safety, and patient-centred care.

You can verify our NABH accreditation independently at www.nabh.co

You cannot copy content of this page