1. PURPOSE:

To ensure the implementation of the quality management system (QMS) within the organization,

To create a suitable working and service environment by keeping the satisfaction and safety of our patients, patient relatives and employees at the highest level,

To implement quality service awareness in all units as management and employees and to ensure the participation of employees in quality by creating in-service training programs,

To be a reliable and always preferred ADSM that is taken as an example in our region in the ADSM sector and meets the expectations of patients at the highest level by applying the Quality Management System effectively and developing it with continuous improvement studies.

Quality studies in our institution are carried out by the “Quality Management Unit” with the support of the management and department quality officers in line with the Ministry of Health Quality Standards in Health-ADSM set.

According to the Health Quality Standards, quality officers are assigned for each department. These departments are as follows;

1.Corporate Services

Corporate Structure
Quality Management
Document Management
Risk Management
Unintended Event Notification System

Disaster and Emergency Management
Education Management
Social Responsibility

2.Patient and Employee Oriented Services

Patient Experience
Access to Services
Healthy Working Life

3.Health Services

Patient Care
Medication Management
Prevention and Control of Infections
Cleaning, Disinfection and Sterilization Services
Radiation Safety
Operating Room

4.Support Services

Facility Management
Hospitality Services
Information Management System
Material and Device Management
Medical Records and Archive Services
Waste Management
Outsourcing

 5.Indicator Management

Monitoring Indicators
Quality Indicators

Our Committees

The following committees meet periodically throughout the year with the participation of department quality officers:

Employee Health and Safety Committee
Education Committee
Infection Control Committee

Patient Safety Committee
Facility Safety Committee

Building Tour Team

Medication Management Team

Self-Assessment Team

Security Reporting System

To ensure that unwanted events that may threaten the safety of patients and employees in our institution, that do not occur at the last moment (near miss) or that occur,
To monitor these events,
From the relevant part of the Unwanted Event notification web page to ensure that the necessary measures are taken for these events as a result of the notifications (https://www.XXXXXX.com.tr/personel-olay-bildirim/) to be reported to the Ministry of Health. In addition, the web page was integrated with the relevant pages of the Ministry of Health.

Indicator Management

An Indicator Management System was established in order to develop measurement systematics and culture in our organization and to contribute to the continuous improvement of quality by creating opportunities for benchmarking and cooperation by following common indicators used internationally. In this context, all indicators determined by the Ministry of Health, both clinic-based and department-based, are monitored.

Physical Space Inspections

Building tours are conducted at regular intervals in order to create continuous, safe and easily accessible center physical conditions and technical infrastructure for patients, their relatives and employees. The team formed by the senior management has been defined to ensure the effectiveness, continuity and systematicity of the work carried out by taking into account the size of the institution and the diversity of services. During the building tours, problems related to the physical condition and functioning of the institution are identified and necessary improvements are made.

Self-Assessment Process Within the scope of Quality Standards in Health (QSS), self-assessment (internal audit) is conducted twice a year in our institution.

The self-assessment plan is prepared to cover all the sections included in the Health Quality Standards. Prior to the self-assessment (internal audit), all departments are informed about the audit schedule and plan through internal correspondence.

*While preparing the text above, the Health Quality Standards-ADSM Set prepared by the Department of Quality and Accreditation in Health was utilized.