Quality Training Centre

On 25 March 2014, Quality Management was initiated in our hospital with the Quality Council meeting. With the assignment and authorisation of the Quality Council, the Quality Management Centre was established and the task plan was determined. Accordingly, the Quality Management Centre was structured to ensure coordination between the committees and boards, which are the elements of quality management, and the Quality Council, and to support the activities. In September 2015, training was added to quality management and the name of the Quality Management Centre was changed to "Quality and Training Centre".

Within the scope of the "Republic of Turkey Ministry of Health, General Directorate of Health Services, General Directorate of Health Services, Quality Standards in Health Hospital Set", studies are carried out by the Quality and Training Centre in our hospital.

Committees/Rules and Job Descriptions Working within the Quality and Training Centre

Anaesthesia and Surgical Care Committee: It is the committee responsible for planning all processes involving anaesthesia applications and surgical interventions inside and outside the operating theatre, ensuring that they are carried out as planned, and carrying out the processes related to the elimination of the problems that occur.

Baby Friendly Committee: As a Baby Friendly Hospital, it is the committee responsible for raising awareness of mothers and expectant mothers, encouraging breastfeeding and ensuring that breastfeeding becomes a successful and established practice within our hospital by providing mothers with information and the right habits about breastfeeding, preparing the necessary programmes on this subject and carrying out the relevant processes.

Nutrition Committee: It is the committee responsible for ensuring that plans and strategies are determined, implemented and supervised in order to recognise and prevent malnutrition (malnutrition) in outpatients and inpatients in the hospital and to provide appropriate nutrition to patients.

Brain Death Committee: It is the committee responsible for identifying brain death cases in intensive care units, identifying and monitoring possible donors, ensuring that the board meets when necessary, and ensuring that the case becomes a donor by interviewing the relatives of brain death cases for organ donation.

Employee Health and Safety Committee: It is the committee responsible for determining the current situation regarding employee safety for all studies carried out in the hospital by taking into account the size of the hospital and the variety of services, providing a safe environment for the employee during health service delivery, determining possible risks for the employee, determining corrective preventive action methods to eliminate these risks and ensuring the sustainability of the safe working environment with the hospital administration within the framework of a plan and programme.

Education Committee: It is the committee responsible for determining, planning and managing the training activities that should be provided to patients and their relatives in line with their needs in order to increase the quality of the health service provided, determining the training needs of the personnel, planning training activities in line with these needs, ensuring that the trainings are carried out and evaluating the training outputs.

Infections Control and Prevention Committee: It is the committee responsible for determining and implementing infection control programmes in inpatient treatment institutions, identifying problems related to the subject, organising and conducting activities for solution, and ensuring that the decisions to be taken at the level of inpatient treatment institutions are communicated to the necessary authorities.

Forms Committee: It is the committee responsible for designing and approving all forms used in the hospital, making the printing request, if any, from the relevant unit, printing in the printing house, distribution to the user, storage, stock tracking and following the work steps for removal from the application.

Patient Care Committee: It is the committee responsible for providing scientifically and ethically correct, timely, complete and equal care to patients who apply for diagnosis and treatment in accordance with hospital policies and accreditation standards. Uninterrupted provision of the services and care that patients need from admission to the hospital to the discharge process; it is the committee responsible for providing scientifically and ethically correct, timely, complete and equal care for the admission and admission of patients to the hospital, discharge, referral and follow-up procedures, internal or external transfer processes in accordance with hospital policies and accreditation standards.

Patient Safety Committee: It is the committee responsible for determining the current situation related to patient safety for all studies conducted in the hospital, taking into account the size of the hospital and the variety of services, providing a safe environment for the patient during service delivery, determining possible risks for the patient, determining corrective preventive action methods to eliminate these risks, and ensuring that these works are performed together with the hospital administration within the framework of a plan and program.

Patient and Family Rights Committee: It is the committee responsible for ensuring that patients and their families who apply for diagnosis and treatment request receive scientifically evidence-based and ethically correct, timely, equal and complete health care in a way that protects their rights.

Patient Evaluation Committee: It is the committee responsible for collecting information and data about the physical, psychological, social status and health history of patients, analyzing these data and information, including laboratory and radiological diagnostic test results, and monitoring patients so that their results can be understood.

Hospital Disaster Plan Committee: It is the committee responsible for anticipating possible internal (hospital-related events) or external (social events) emergency events and disaster situations in the area where the hospital operates, determining what to do quickly and in a coordinated manner against such situations, preparing plans by describing methods to prevent or reduce possible physical, mental and social health problems, environmental and social problems that may arise from such situations, and ensuring their continuity.

Pharmaceutical Management and Use Committee: It is the committee responsible for advising the employees of our hospital in order to minimize the harms and risks of drug treatments for patients who apply for treatment Decrees and to ensure effective application conditions in order to achieve the desired optimal clinical results; to determine, plan and implement the training that patients and employees need regarding the use of drugs and medicines, to determine the method to ensure effective communication between health care professionals and the pharmacy.

Contact Board: It is the board responsible for evaluating requests, complaints, suggestions and thanks sent on behalf of patients by patients, patient relatives, chaperones and visitors, as well as institutions, organizations and insurance companies that receive services from our hospital; on the one hand, creating specific solutions and responses to requests and complaints, responding to thanks, on the other hand, identifying the missing aspects of the institution with the help of statistics created and conducting these works and operations.

Communication and Information Management Committee: The committee responsible for determining the information needs of our institution, designing the information management system, identifying and collecting data and information, analyzing and converting data into information, transferring and reporting data and using information; integrating and using information is the committee responsible for carrying out the processes related to data protection and personal data protection at the same time.

Quality Improvement Committee: It is the committee responsible for conducting the processes related to researching all issues in the field of quality improvement and continuous corporate development, monitoring and evaluating indicators, planning appropriate corrective/preventive activities within this framework and providing the necessary resources.

Clinical Quality Improvement Committee: It is the committee responsible for monitoring, analyzing and improving the medical processes for health cases determined in accordance with the “Clinical Quality Measurement and Evaluation Guidelines” published by the Ministry in our hospital, as well as the clinical quality studies to monitor, analyze and improve the clinical results obtained on the basis of health cases.

Radiation Health and Safety Committee: It is the committee responsible for maintaining a radiation-safe environment for hospital employees, patient/patient relatives, visitors and the environment, determining risk factors that may be present or caused by the environment, maintaining a radiation-safe environment for patients / patient relatives, visitors and the environment, taking into account the size of the hospital and the variety of services in inpatient treatment institutions, effectively, continuously and systematically in terms of patient/patient safety, employee and environmental safety.

Facility Management and Safety Committee: It is the committee responsible for ensuring the maintenance of a safe environment for hospital employees, patient/patient relatives and visitors, taking into account the size of the hospital and the variety of services in inpatient treatment institutions, the effective, continuous and systematic maintenance of studies conducted in the hospital related to facility safety, determining the risk factors that are present in the working environment or may arise from the environment. It is the committee responsible for ensuring the maintenance of a safe environment for hospital employees, patient/patient relatives and visitors, taking into account the size of the hospital and the variety of services in inpatient treatment institutions, the effective, continuous and systematic continuation of studies conducted in the hospital related to facility safety, determining the risk factors that may be present in the working environment or may arise from the environment.

Transfusion Committee: It is a committee responsible for ensuring the establishment of hospital policy in inpatient treatment institutions on the supply of blood/blood components, preparation rates of blood components, storage and safety of blood use, evaluation of transfusion indication in all cases where blood / blood components are used, evaluation of the adequacy of the blood center to meet patient needs and evaluation of related transfusion reactions of blood/blood components Jul.