Quality Management Department

Quality Management Director

Suzan TÜRK HANZEY

Quality Liaison Officers

Dr. Ömer ALTUN
Sibel ÇAKMAK
Naciye KOÇAK
Sema GÜNAYDIN
Esra YERŞEN
Aysel KIZILPINAR
İlker KAYHAN

QUALITY MANAGEMENT DEPARTMENT

Within the scope of the “Regulation on the Improvement and Evaluation of Quality in Healthcare” and the current “Healthcare Quality Standards Hospital Set (SKS)” published by the Ministry of Health, Department of Quality and Accreditation in Healthcare; the objective is to ensure the continuation of activities aimed at maintaining healthcare services in an efficient, effective, productive, and equitable manner, ensuring patient safety, and increasing patient/employee satisfaction. All operations are carried out by the Quality Management Director and the Quality Department Personnel.

QUALITY MANAGEMENT DIRECTOR

Responsible for preparing, implementing, and regularly auditing the Quality Management System in the hospital in accordance with SKS, executing corrective actions, and implementing developments in the Quality Management System.

DUTIES OF THE QUALITY MANAGEMENT DEPARTMENT

To ensure the coordination of activities carried out within the framework of SKS,
To monitor efforts directed towards corporate goals and objectives,
To manage self-assessments,
To manage processes related to the Adverse Event Reporting System,
To manage processes related to risk management,
To manage studies measuring patient and employee satisfaction (survey applications, evaluation of survey results, improvement efforts based on survey results, gathering feedback, etc.),
To ensure the management of documentation within the framework of SKS,
To manage processes regarding quality indicators,
To participate as a member in committees determined within the framework of SKS.

Department quality officers have been assigned for all departments included in the Healthcare Quality Standards, and operations are carried out accordingly.

DUTIES OF DEPARTMENT QUALITY OFFICERS

To implement SKS related to their respective departments and to inform the Quality Management Department about practices,
To ensure that written SKS regulations sent to the department reach all department employees,
To ensure that written regulations are stored in appropriate environments (electronic media or files, folders, etc.) accessible to department employees,
To determine department goals within the scope of SKS together with senior management and department managers,
To analyze department goals and report to the Quality Management Department,
To follow up on corrective and preventive actions carried out in the departments,
To inform department employees about SKS studies,
To personally audit patient and employee safety practices in their department,
To ensure that reporting and notifications within the scope of SKS (Adverse Event Reporting System, Falls, Medication Errors, Laboratory Errors, Emergency Codes, Exposure to Blood and Body Fluids, and Sharps Injuries, quality indicator notifications, etc.) are made regularly,
To act together with the Quality Management Department in SKS Self-Assessments,
To conduct and coordinate patient and employee satisfaction surveys,
To track documents used in the department and externally sourced documents,
To participate in evaluation meetings with hospital management where goals and self-assessment results will be discussed,
Each department quality officer keeps regular records of their work and sends a copy of the evaluation reports to the Quality Management Department (KYB).

COMMITTEES AND TEAMS ESTABLISHED WITHIN THE SCOPE OF SKS

COMMITTEES

RADIATION SAFETY COMMITTEE
RATIONAL DRUG / MEDICATION MANAGEMENT COMMITTEE
PATIENT SAFETY COMMITTEE
EMPLOYEE HEALTH AND SAFETY COMMITTEE
EDUCATION COMMITTEE
INFECTION CONTROL COMMITTEE
FACILITY SAFETY COMMITTEE
MEDICAL WASTE COMMITTEE

TEAMS

PATIENT AND RELATIVES OPINION EVALUATION TEAM
INFORMATION SECURITY TEAM
EMPLOYEE OPINION EVALUATION TEAM
ANTIBIOTIC CONTROL TEAM
CODE PINK TEAM
CODE WHITE TEAM
CODE BLUE TEAM
BUILDING TOUR TEAM
ORGAN DONATION TEAM
RISK ASSESSMENT TEAM
CODE RED TEAM
NUTRITIONAL SUPPORT TEAM
EMERGENCY AND DISASTER MANAGEMENT TEAM

Quality Management