Quality Policy

Our aim is

Ensuring the implementation of the quality management system (SKS) within the organization,

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

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

By applying the Quality Management System effectively and developing it with continuous improvement studies; 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 the patients at the highest level.

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

Quality officers have been appointed for each department according to the Quality Standards in Health. These sections are as follows;

1.Corporate Services

Institutional Structure
Quality Management
Document Management
Risk Management
Undesired Incident Notification System

Emergency and Disaster Management
Education Management
Social Responsibility

2.Patient and Employee Oriented Services

Patient Experience
Service Access
Healthy Work Life

3.Health Services

Patient Care
Medication Management
Infection Prevention
Sterilization Services
Radiation Safety
Operating Room


4.Support Services

Facility Management
Hotel Services
Information Management System
Material and Equipment Management
Medical Records and Archive Services
Waste Management

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 Safety Committee
Education Committee
Infection Control Committee

Patient Safety Committee
Facility Safety Committee

Safety Reporting System

In our institution;

Providing notification of undesired events that may threaten the safety of patients and employees, that do not happen (near miss) or that occur at the last moment.
Monitoring these events
As a result of the notifications, a Safety Reporting System has been established to ensure that necessary measures are taken for these events.
Indicator Management

Indicator Management System has been established in our institution in order to contribute to the continuous improvement of quality by developing the measurement systematic and culture and by following the common indicators used in the international arena, creating opportunities for comparison and cooperation. In this context, all indicators determined by the Ministry of Health, including Clinic-Based and Department-Based, are followed.

Physical Area Controls

In our institution; Building tours are carried out at regular intervals in order to create the physical conditions and technical infrastructure of the center that is continuous, safe and easily accessible for patients, their relatives and employees.
The team formed by the top management has been defined in a way that will ensure the effectiveness, continuity and systematicity of the work carried out, taking into account the size of the institution and the diversity of services.
During the building tours, the physical condition and functioning of the institution are detected and necessary improvements are made.

Self-Assessment Process Within the scope of Quality Standards in Health (SKS), self-assessment (internal audit) is carried out once a year in our institution.

The self-assessment plan is prepared to cover all parts of the Health Quality Standards.
Before the self-assessment (internal audit), all departments are informed about the audit schedule and plan through internal correspondence.
* While preparing the text above, the Quality Standards in Health-ADSM Set prepared by the Health Quality and Accreditation Department was used.







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