Quality Management Officer
Suzan TÜRK HANZEY
Quality Liaison Officers
- Dr. Ömer ALTUN
- Sibel ÇAKMAK
- Naciye KOÇAK
- Sema GÜNAYDIN
- Esra YERŞEN
- Aysel KIZILPINAR
- İlker KAYHAN
Quality Management Unit
The Quality Management Unit ensures the effective, efficient, and equitable continuation of healthcare services while prioritizing patient safety and satisfaction. This is conducted in accordance with the “Regulation on the Development and Evaluation of Healthcare Quality” and “Healthcare Quality Standards Hospital Set Version-6.1 (HQS)” issued by the Turkish Ministry of Health’s Department of Healthcare Quality and Accreditation.
All activities are carried out by the Quality Management Director and the Quality Unit Team.
Quality Management Director
The Quality Management Director is responsible for:
- Establishing, implementing, and regularly auditing the hospital’s Quality Management System in accordance with HQS,
- Carrying out corrective actions,
- Ensuring the continuous development and application of quality improvement measures.
Duties of the Quality Management Unit
- Coordinating activities conducted within the HQS framework,
- Monitoring institutional goals and objectives,
- Managing self-assessments,
- Overseeing processes related to the Incident Reporting System,
- Managing risk assessment procedures,
- Conducting patient and employee satisfaction evaluations (surveys, feedback analysis, improvement actions),
- Managing documentation within the HQS framework,
- Overseeing quality indicators and ensuring compliance,
- Participating as members in HQS-designated committees.
Each department has designated Quality Officers, ensuring quality-focused activities across all sections of the hospital.
Duties of Departmental Quality Officers
- Implement HQS within their respective departments and report updates to the Quality Management Unit,
- Ensure that HQS regulations are communicated to all department employees,
- Maintain written regulations in accessible formats (electronic or physical files),
- Work with senior management to define department-specific HQS goals,
- Analyze departmental objectives and report findings to the Quality Management Unit,
- Monitor corrective and preventive measures,
- Inform staff about ongoing HQS-related activities,
- Supervise patient and employee safety within their departments,
- Ensure regular reporting of quality indicators (e.g., incident reports, medication errors, lab errors, emergency codes, exposure to bodily fluids),
- Participate in self-assessments alongside the Quality Management Unit,
- Oversee the implementation and coordination of patient and employee satisfaction surveys,
- Manage department-specific documents and external documentation,
- Attend evaluation meetings with hospital management to review objectives and assessments,
- Maintain records of quality-related activities and submit reports to the Quality Management Unit.
Committees and Teams Established Under HQS
Committees
- Radiation Safety Committee
- Rational Drug Use / Medication Management Committee
- Patient Safety Committee
- Employee Health and Safety Committee
- Education Committee
- Infection Control Committee
- Facility Safety Committee
- Medical Waste Committee
Specialized Teams
- Patient & Family Feedback Evaluation Team
- Information Security Team
- Employee Feedback Evaluation Team
- Antibiotic Stewardship Team
- Pink Code (Child Abduction Response) Team
- White Code (Violence Prevention) Team
- Blue Code (Medical Emergency Response) Team
- Building Inspection Team
- Organ Donation Team
- Risk Assessment Team
- Red Code (Fire Emergency Response) Team
- Nutritional Support Team
- Emergency & Disaster Management Team
These committees and teams work collectively to maintain the highest healthcare quality standards, ensuring patient safety and service excellence.
