In India, Health System currently operates within an environment of rapid social, economic, and technical changes. Such changes raise the concern for quality and patient safety in health care. Accreditation is the clear way to improve capacity of national hospitals to provide quality care and ensure patient safety. Since in our country the number of small hospitals or nursing homes exceeds the number of big hospitals. The NABH standards provide framework for quality of care for patients and quality improvement for SHCO. The standards help to build a quality culture at all level and across all the function of SHCO. In the world mean cost per misdiagnosis cost Rs 55357.65 and Medication Errors cost ranged from Rs 217.37 to Rs 94,14,123.76. These loopholes in quality while decrease by giving training to the HCWs on defined time durations & refine the quality process. Quality of health care and the various risk and safety issues in the hospitals which have become a subject of debate. In many organizations fake training programs documentation prepared for achieving the accreditation which effect the hospital staff training and lead to cause a low-quality operation standard. The hospital should not do the readymade shortcuts to improve the outcomes. Nonetheless, it is important to realize that health is a social phenomenon, and a hospital is a social institution which cannot be studied in isolation from the societal conditions in which it operates. However, we are sure that there still are hospitals that offer much to learn in terms of internal workings of these hospitals for improving the services of a hospital. The quality improvement needs a team approach towards continuous quality improvement (CQI), find the incorrect NABH standard Gap Analysis on ground by core team (CQI), Improved the quality of documentations, Training of Hospital Staff is playing an important role in improving the quality standard in a hospital.