QUALITY UNIT
The Quality Unit carries out quality management and accreditation activities to support the delivery of safe, effective, efficient, equitable, and patient-centred healthcare services, ensure patient and staff safety, enhance satisfaction, and foster a culture of continuous improvement.
The unit’s activities are planned and coordinated in accordance with the Healthcare Accreditation Standards (SAS) developed by the Turkish Healthcare Quality and Accreditation Institute (TÜSKA) and the applicable legislation governing the institution.
The Quality Unit works in collaboration with the relevant departments and units to monitor the implementation of accreditation standards, evaluate quality indicators, manage risks, promote patient and staff safety, maintain documentation, conduct self-assessments, and carry out improvement activities.
All activities are conducted under the coordination of the Quality Unit Manager, with the contributions of Quality Unit staff and the quality representatives of the relevant departments. The aim is to continuously improve the quality of healthcare services and ensure the sustainable implementation of a quality- and safety-oriented approach throughout the institution.
DUTIES AND RESPONSIBILITIES OF THE QUALITY MANAGEMENT UNIT
The Quality Management Unit coordinates quality management and accreditation processes to support the delivery of safe, effective, efficient, patient-centred healthcare services in accordance with the principles of continuous improvement. In line with the institution’s quality objectives, the unit works collaboratively with the relevant departments to monitor, evaluate, and improve processes.
The main duties and responsibilities of the Quality Management Unit are as follows:
- To coordinate activities carried out within the scope of the Healthcare Accreditation Standards (SAS) and monitor the implementation of measures to meet the standards.
- To plan quality-related activities in line with institutional goals and objectives, monitor their implementation, and evaluate the results.
- To plan and coordinate self-assessment activities and monitor initiatives addressing identified areas for improvement.
- To coordinate the implementation and evaluation of adverse event reporting processes to promote patient and staff safety.
- To support the implementation of risk management processes and monitor activities related to risk identification, assessment, and control.
- To coordinate surveys, feedback mechanisms, and assessment activities to measure patient and staff satisfaction, and monitor improvement initiatives based on the results.
- To manage processes related to the preparation, revision, publication, distribution, and control of documents within the quality management system.
- To coordinate activities involving the monitoring, analysis, and use of quality indicator data to support improvement initiatives.
- To participate in the activities of relevant committees and teams concerning quality management, patient safety, and continuous improvement, and support the follow-up of decisions and action items.
- To monitor the quality activities of individual departments in collaboration with departmental quality representatives, promote consistency in implementation, and coordinate improvement initiatives.
- To conduct training, information, and awareness-raising activities in collaboration with the relevant departments to support compliance with accreditation standards.
- To ensure the proper maintenance of records related to quality management and accreditation processes, facilitate reporting of results, and support the sustainability of improvement activities.
Departmental Quality Representatives
Quality representatives have been designated in the relevant departments to support the effective and sustainable implementation of processes covered by the Healthcare Accreditation Standards.
Departmental quality representatives contribute to the implementation of standards within their respective areas of responsibility, the monitoring of processes, the reporting of identified nonconformities and areas for improvement to the relevant units, and the follow-up of corrective and improvement actions.
In collaboration with the relevant departments and process owners, the Quality Management Unit aims to enhance the effectiveness of the quality management system, promote patient and staff safety, and foster a culture of continuous improvement throughout the institution.
QUALITY UNIT ACTIVITIES
The Quality Management Unit of our hospital carries out activities related to quality management, patient safety, and continuous improvement in accordance with the TÜSKA Healthcare Accreditation Standards (SAS), Hospital Set v3.0/2021.
The main activities carried out by our unit are as follows:
• Implementation of Accreditation Standards: Activities are conducted in accordance with the standards set out in the SAS Hospital Set v3.0/2021, and implementation processes are monitored.
• Indicator Management: Quality indicators are evaluated, and activities are carried out to develop and update indicator cards.
• Self-Assessment Activities: Self-assessment processes are planned and conducted within the scope of accreditation standards, and areas for improvement are identified based on the results.
• Document Management: Revisions are carried out to maintain the currency of documents used within the quality management system and improve the document management system.
• Patient and Staff Satisfaction: Patient and staff satisfaction surveys are administered, and the resulting data are analysed to inform improvement initiatives.
• Drill Planning: Drills required under emergency management are planned, and their implementation is coordinated in accordance with the relevant standards and institutional procedures.
Our Quality Management Unit continues to work in collaboration with the relevant departments and units to enhance the quality and safety of healthcare services provided by our hospital, support compliance with accreditation standards, and foster a culture of continuous improvement.