Quality Management Unit

What is Quality?

Quality refers to the entire set of features that can meet the specified or potential needs of a product or service. In simpler terms, quality means suitability for use, efficiency, and lifestyle.

Quality is a concept that has been subject to different approaches and has been around as long as human history.

Throughout the centuries, quality has been emphasized as an assurance and control system and has found its place among the sayings of famous thinkers.

According to Dr. Joseph Juran, quality is fitness for use. From Philip B. Crosby’s perspective, quality is the conformity of the system to conditions and demands. According to the American Society for Quality Control (ASQC), quality is the totality of characteristics that demonstrate the ability of a product or service to meet a specific requirement. According to the Japanese Industrial Standards Committee, quality is a production system that economically produces a product or service and meets consumer demands.

ensures the continuation of activities aimed at improving and evaluating quality in accordance with the “Regulation on Improving and Evaluating Quality in Healthcare” and the “Healthcare Quality Standards Hospital Set (HQS)” published by the Ministry of Health’s Directorate General of Quality and Accreditation in Healthcare. It aims to maintain effective, efficient, fair, and equitable provision of healthcare services and to increase patient safety and patient/staff satisfaction.

Responsibilities of The Quality Management Unit

• • Coordinate the activities carried out within the scope of Health Quality Standards
  • Monitor the work related to institutional objectives and goals
  • Manage self-assessments
  • Manage the processes related to the Safety Reporting System
  • Manage the processes related to risk management
  • Manage activities related to measuring patient and staff satisfaction (conducting surveys, evaluating survey results, improving efforts based on survey results, obtaining patient and staff feedback, etc.)
  • Manage the documentation within the framework of Health Quality Standard
  • Check written regulations
  • Monitor the revision of written regulations
  • Manage the processes related to quality indicators
  • Participate as a member in committees determined within the scope of Health Quality Standards
  • Evaluate statistical information related to service provision
  • Coordinate the activities carried out within the framework of Health Quality Standards

Responsibilities of Unit Quality Managers

• • • Implement the Health Quality Standards related to their departments and provide information to the Quality Management Unit about the implementations
    • Ensure that the written regulations related to Health Quality Standards sent to their departments are delivered to all department employees
    • Ensure that the written regulations are stored in appropriate environments (electronic format, files, folders, etc.) accessible to department employees
    • Determine department objectives within the scope of Health Quality Standarts in collaboration with top management and department managers
    • Analyze department objectives and report to the Quality Management Unit
    • Monitor corrective and preventive activities carried out in the departments
    • Provide information to department employees about Health Quality Standards activities
    • Personally inspect patient and staff safety practices in their departments
    • Ensure the regular completion of reporting and notifications within Health Quality Standards (Incident Reporting System, Falls, Medication Errors, Lab Errors, Emergency Codes, Exposure to Blood and Body Fluids, Sharp/Blunt Instrument Injuries, etc.) and quality indicator notifications, etc.
    • Act in coordination with the Quality Management Unit during Health Quality Standards self-assessments
    • Responsible for conducting patient satisfaction surveys and staff satisfaction surveys and coordinating them
    • Responsible for tracking the documents used in their unit and externally sourced documents
    • Attend the evaluation meeting, where hospital management discusses objectives and self-assessment results
    • Each unit quality manager keeps regular records of their activities. They send a copy of the evaluation reports to the Quality Management Unit

Committee Activity Cycle

After the activities related to their areas of responsibility are conveyed to the committee by the Quality Management Unit, the committees prepare a plan for the activities within their scope and carry out their activities accordingly. They can initiate corrective and preventive activities as necessary and hold meetings at regular intervals to review the activities. They send the analysis results of incident reporting and the documents related to the activities to the Quality Management Unit.