{"id":8611,"date":"2022-04-25T21:08:59","date_gmt":"2022-04-25T21:08:59","guid":{"rendered":"https:\/\/www.facetofacehealthy.com\/quality-management-system\/"},"modified":"2022-06-17T00:16:15","modified_gmt":"2022-06-17T00:16:15","slug":"quality-management-system","status":"publish","type":"page","link":"https:\/\/www.istanbulhospital.com.tr\/en\/quality-management-system\/","title":{"rendered":"Quality Management System"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8611\" class=\"elementor elementor-8611\">\n\t\t\t\t\t\t\t        <section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-132ff27f cms-section-no-padding-yes elementor-section-boxed elementor-section-height-default elementor-section-height-default cms-boxed-bg-false cms-section-boxed-divider-false cms-remove-row-no cms-row-corner-no\" data-id=\"132ff27f\" data-element_type=\"section\">\n\t\t\n\t\t<div class=\"cms-overlay-gradient\"><\/div><div class=\"cms-section-boxed-bg\"><\/div><div class=\"cms-section-boxed-divider\"><\/div><div class=\"cms-elementor-section-remove\"><\/div><div class=\"cms-elementor-section-corner cms-elementor-section-corner-top\"><\/div><div class=\"cms-elementor-section-corner cms-elementor-section-corner-bottom\"><\/div>        <div class=\"elementor-container elementor-column-gap-default \" >\n\t\t        <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a348bdf\" data-id=\"a348bdf\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-5a9de91e elementor-widget elementor-widget-text-editor\" data-id=\"5a9de91e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 04-12-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<span style=\"color: #2b2a2a; font-family: Montserrat; font-size: 15px;\">In the Committee Board Team&#8217;s Handbook prepared in line with the Ministry of Health Service&#8217;s Quality Standards, each committee&#8217;s job description, functioning and frequency of meetings are specified as stated. By giving the agenda, place, and time information to all committee members by the Quality Management Director board meetings are held. These committee meetings aim to measure, analyze, and improve Health Service&#8217;s Quality Standards, and initiate corrective\/preventive activities that ensure the continuation of improvement.<\/span>\n\n&nbsp;\n\n&nbsp;\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n        \t\t        <\/div>\n        <\/section>\n\t\t        <section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-aa6595f elementor-section-boxed elementor-section-height-default elementor-section-height-default cms-section-no-padding-no cms-boxed-bg-false cms-section-boxed-divider-false cms-remove-row-no cms-row-corner-no\" data-id=\"aa6595f\" data-element_type=\"section\">\n\t\t\n\t\t<div class=\"cms-overlay-gradient\"><\/div><div class=\"cms-section-boxed-bg\"><\/div><div class=\"cms-section-boxed-divider\"><\/div><div class=\"cms-elementor-section-remove\"><\/div><div class=\"cms-elementor-section-corner cms-elementor-section-corner-top\"><\/div><div class=\"cms-elementor-section-corner cms-elementor-section-corner-bottom\"><\/div>        <div class=\"elementor-container elementor-column-gap-default \" >\n\t\t        <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2139a73\" data-id=\"2139a73\" data-element_type=\"column\">\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-09d6688 elementor-widget elementor-widget-spacer\" data-id=\"09d6688\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 04-12-2023 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b44f747 cms-heading-layout-1 elementor-widget elementor-widget-cms_heading\" data-id=\"b44f747\" data-element_type=\"widget\" data-widget_type=\"cms_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"cms-heading-wrapper text-\">\r\n        <h2 class=\"cms-mainheading cms-heading mt-n5 mb-25 text-lg-40  text-custom empty-none\">Quality Management System<\/h2>\r\n    <div class=\"extra-space clearfix\"> <\/div>\r\n    <div class=\"pt-20 pl-lg-100\">\r\n                <div class=\"cms-heading-buttons row gutters-30 gutters-grid align-items-center\">\r\n                    <\/div>\r\n            <\/div>\r\n<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1486e10 elementor-widget elementor-widget-toggle\" data-id=\"1486e10\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.18.0 - 04-12-2023 *\/\n.elementor-toggle{text-align:left}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2151\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2151\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Corporate Services<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2151\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2151\"><div id=\"ui-id-2\" class=\"accordion-body ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-1\" aria-hidden=\"false\"><ul><li>Institutional Structure<\/li><li>Quality management<\/li><li>Document management<\/li><li>Risk management<\/li><li>Security Reporting System<\/li><li>Emergency and disaster management<\/li><li>Training management<\/li><li>Social responsibility<\/li><\/ul><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2152\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2152\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Medical Services<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2152\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2152\"><div id=\"ui-id-4\" class=\"accordion-body ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-3\" aria-hidden=\"false\"><ul><li>Patient Care<\/li><li>Pharmaceutical management<\/li><li>Prevention of infections<\/li><li>Sterilization services<\/li><li>Transfusion services<\/li><li>Radiation safety<\/li><li>Emergency service<\/li><li>Operating room<\/li><li>Intensive Care Unit<\/li><li>Neonatal Intensive Care Unit<\/li><li>Birth Services<\/li><li>Biochemistry laboratory<\/li><li>Endoscopy<\/li><\/ul><\/div><h3 id=\"ui-id-5\" class=\"ui-accordion-header ui-corner-top ui-accordion-header-collapsed ui-corner-all ui-state-default ui-accordion-icons\" tabindex=\"-1\" role=\"tab\" aria-controls=\"ui-id-6\" aria-selected=\"false\" aria-expanded=\"false\"> <\/h3><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2153\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2153\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Patient and Employee Focused Services<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2153\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2153\"><div id=\"ui-id-6\" class=\"accordion-body ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-5\" aria-hidden=\"false\"><ul><li>Patient experience<\/li><li>Access to the service<\/li><li>End of life services<\/li><li>Healthy Workplace environment<\/li><\/ul><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2154\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2154\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Sign Management<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2154\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2154\"><div id=\"ui-id-8\" class=\"accordion-body ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-7\" aria-hidden=\"false\"><ul><li>Facility management<\/li><li>Hospitality services<\/li><li>Information management system<\/li><li>Material and devices management<\/li><li>Medical records and archive services<\/li><li>Waste management<\/li><li>Outsourcing<\/li><\/ul><\/div><p>All parameters monitored by the Quality Management System at Istanbul Hospital were prepared based on the Ministry of Health&#8217;s Indicator Management Guide. Indicators are determined at the end of each year by department managers and department quality managers. Indicators are determined in two headings. All parameters are performed by the Department Quality Officer taking into account the Department-Based Indicators, Clinic-Based Indicators, the structure of the hospital, the patient profile and priorities, and revisions are made if the Ministry publishes a new Indicator. For each Indicator data that is tracked, an individual Indicator Card is created. The sub-indicator parameter on the card indicates who are responsible, the analysis period, who are responsible. This information is defined. The data collected by the Department&#8217;s Quality Officer and reported to the Quality Management Representative are analyzed in the specified analysis format, and the necessary improvements are made if there is a deviation from the department&#8217;s target value. <\/p><p class=\"Indent1\">PDCA \u2013 Cycle Plan \u2013 Do \u2013 Check \u2013 Act <br>RCA (Root \u2013 Cause-Analysis) <br>D\u00d6F (D\u00fczeltici \u00d6nleyici Faaliyet) <br>FMEA (Failure Mode and Effect Analysis)<\/p><p>Data of the department and clinical based indicators are entered into TUR-G\u00d6S data input system of the Ministry of Health every 3-months by the Quality Representative.<\/p><h3 id=\"ui-id-9\" class=\"ui-accordion-header ui-corner-top ui-accordion-header-collapsed ui-corner-all ui-state-default ui-accordion-icons\" tabindex=\"-1\" role=\"tab\" aria-controls=\"ui-id-10\" aria-selected=\"false\" aria-expanded=\"false\"> <\/h3><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2155\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2155\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Our Committees<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2155\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2155\"><p>The following committees meet at certain intervals throughout the year with the participation of the department quality officers:<\/p><ul><li>1-Quality Council (Management Review)<\/li><li>2-Committees<ul><li>2.1-Patient Safety Committee<\/li><li>2.2-Training Committee<\/li><li>2.3-Facility Security Committee<\/li><li>2.4-Infection Control Committee<\/li><li>2.5-Transfusion Committee<\/li><li>2.6-Radiation Safety Committee<\/li><li>2.7-Pharmaceutical Management Committee<\/li><li>2.8-Patient Rights and Satisfaction Committee<\/li><li>2.9-Evaluation and Maintenance Committee<\/li><\/ul><\/li><li>3-Assemblies<ul><li>3.1-Medical and Ethics Committee<\/li><li>3.2-Occupational Health and Safety Board <\/li><li>3.3-Disciplinary Board<\/li><li>3.4-Hospital Executive (Senior Management) Board <\/li><li>3.5-Academic Board<\/li><li>3.6-Organ Tissue Transplant Coordination Board <\/li><li>3.7-Brain Death Board <\/li><\/ul><\/li><li>4-Responsible Teams<ul><li>4.1-Rational Medicine Team <\/li><li>4.2-Palliative Care Team <\/li><li>4.3-Medical Device and Equipment Team <\/li><li>4.4-Building Tour Team <\/li><li>4.5-Emergency and Disaster Management Team <\/li><li>4.6-Nutrition Support Team <\/li><li>4.7-Lab Team <\/li><li>4.8-Clinical Quality Improvement Team<\/li><li>4.9-Medical Record and Documentation Team <\/li><li>4.10-Baby Friendly Hospital Team <\/li><\/ul><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2156\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2156\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Security Reporting System<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2156\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2156\"><div id=\"ui-id-12\" class=\"accordion-body ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-11\" aria-hidden=\"false\"><p>In our hospital;<\/p><ul><li>To ensure the reporting of unwanted events that may threaten the safety of patients and employees.<\/li><li>According to the Security Reporting Procedure, all Security Reporting System (Event Notification) Forms made by the hospital staff are delivered to Quality Management.<\/li><li>All the notifications made are open to improvement by the Quality Management Representative and the Department Quality Officer. All notifications are evaluated by the related committees, and the Quality Management Representative checks with the Ministry of Health GRS notification System.<\/li><li>As a result of the notifications, a Security Reporting System has been established to ensure that the necessary measures are taken for these events.<\/li><\/ul><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2157\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2157\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Physical Field Management<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2157\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2157\"><div id=\"ui-id-14\" class=\"accordion-body ui-accordion-content ui-corner-bottom ui-helper-reset ui-widget-content ui-accordion-content-active\" role=\"tabpanel\" aria-labelledby=\"ui-id-13\" aria-hidden=\"false\"><p>In our hospital; Building tours are organized at regular intervals to create a permanent, safe, and easily accessible hospital for patients, patient relatives, and employees.<\/p><p>The team formed by the hospital management has been defined in a way to ensure the effectiveness, continuity and systematic of the work carried out in the hospital, taking into account the size of the hospital and the variety of services.<\/p><p>Within the scope of the Annual Facility Maintenance Plan and Quality Management Annual Work Plan, a Building tour is held with the Building Tour Team every 3 months. Corrective \/ Preventive action is initiated for all detected nonconformity Elimination of nonconformity and the execution of work within the scope of patient and employee safety are ensured with the participation of senior management.<\/p><p>Weekly field inspections are carried out by the Chief Physician and Nursing Services, Hotel Support Services, Patient Services, Technical Services, Quality Management Representative. Urgent nonconformity are resolved immediately, other detected nonconformity are improved by placing deadlines.<\/p><p>Infection Control Nurse makes daily hospital visits. Improvement is planned according to the determinations.<\/p><p>Self-Assessment Process Within the scope of Health Quality Standards (SKS), self-assessment (internal audit) is performed once a year in our hospital.<\/p><ul><li>Self-assessment team; It consists of General Manager, Medical Director, Human Resources Manager, Financial and Administrative Affairs Manager, Nursing Services Manager, Infectious Diseases &amp; Education &amp; Quality Responsible Nurses, Quality Director and Hospitality Services Officer.<\/li><li>Self-assessment (internal audit) is conducted twice a year, in June and December.<\/li><li>The self-assessment plan is prepared in a way to cover all sections within the Health Quality Standards.<\/li><li>All departments are informed via e-mail about the audit schedule and plan prior to the self-assessment (internal audit).<\/li><\/ul><p><i>* While preparing the above text, Health Quality Standards-Hospital Set prepared by the Department of Health Quality and Accreditation was used.<\/i><\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2158\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-2158\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quality Management Unit<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2158\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-2158\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2159\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-2159\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Patient Safety Objectives<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2159\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-2159\"><p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-11043 size-full\" src=\"https:\/\/www.istanbulhospital.com.tr\/wp-content\/uploads\/2022\/06\/hasta_guvenligi_hedefleri-kopya-1.jpg\" alt=\"\" width=\"642\" height=\"873\" srcset=\"https:\/\/www.istanbulhospital.com.tr\/wp-content\/uploads\/2022\/06\/hasta_guvenligi_hedefleri-kopya-1.jpg 642w, https:\/\/www.istanbulhospital.com.tr\/wp-content\/uploads\/2022\/06\/hasta_guvenligi_hedefleri-kopya-1-423x575.jpg 423w\" sizes=\"(max-width: 642px) 100vw, 642px\" \/><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-21510\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-21510\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\"> Support Services<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-21510\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-21510\"><ul><li>Facility Management<\/li><li>Hospitality Services<\/li><li>Information Management System<\/li><li>Material and Device Management<\/li><li>Medical Records and Archive Services<\/li><li>Waste Management<\/li><li>Outsourcing<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t        <\/div>\n        <\/div>\n        \t\t        <\/div>\n        <\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>In the Committee Board Team&#8217;s Handbook prepared in line with the Ministry of Health Service&#8217;s Quality Standards, each committee&#8217;s job description, functioning and frequency of meetings are specified as stated. By giving the agenda, place, and time information to all committee members by the Quality Management Director board meetings are held. These committee meetings aim to measure, analyze, and improve Health Service&#8217;s Quality Standards, and initiate corrective\/preventive activities that ensure the continuation of improvement. &nbsp; &nbsp; Quality Management System Corporate Services Institutional Structure Quality management Document management Risk management Security Reporting System Emergency and disaster management Training management Social responsibility Medical Services Patient Care Pharmaceutical management Prevention of infections Sterilization services Transfusion services Radiation safety Emergency service Operating room Intensive Care Unit Neonatal Intensive Care Unit Birth Services Biochemistry laboratory Endoscopy Patient and Employee Focused Services Patient experience Access to the service End of life services Healthy Workplace environment Sign Management Facility management Hospitality services Information management system Material and devices management Medical records and archive services Waste management Outsourcing All parameters monitored by the Quality Management System at Istanbul Hospital were prepared based on the Ministry of Health&#8217;s Indicator Management Guide. Indicators are determined at the end of each year by department managers and department quality managers. Indicators are determined in two headings. All parameters are performed by the Department Quality Officer taking into account the Department-Based Indicators, Clinic-Based Indicators, the structure of the hospital, the patient profile and priorities, and revisions are made if the Ministry publishes a new Indicator. For each Indicator data that is tracked, an individual Indicator Card is created. The sub-indicator parameter on the card indicates who are responsible, the analysis period, who are responsible. This information is defined. The data collected by the Department&#8217;s Quality Officer and reported to the Quality Management Representative are analyzed in the specified analysis format, and the necessary improvements are made if there is a deviation from the department&#8217;s target value. PDCA \u2013 Cycle Plan \u2013 Do \u2013 Check \u2013 Act RCA (Root \u2013 Cause-Analysis) D\u00d6F (D\u00fczeltici \u00d6nleyici Faaliyet) FMEA (Failure Mode and Effect Analysis) Data of the department and clinical based indicators are entered into TUR-G\u00d6S data input system of the Ministry of Health every 3-months by the Quality Representative. Our Committees The following committees meet at certain intervals throughout the year with the participation of the department quality officers: 1-Quality Council (Management Review) 2-Committees 2.1-Patient Safety Committee 2.2-Training Committee 2.3-Facility Security Committee 2.4-Infection Control Committee 2.5-Transfusion Committee 2.6-Radiation Safety Committee 2.7-Pharmaceutical Management Committee 2.8-Patient Rights and Satisfaction Committee 2.9-Evaluation and Maintenance Committee 3-Assemblies 3.1-Medical and Ethics Committee 3.2-Occupational Health and Safety Board 3.3-Disciplinary Board 3.4-Hospital Executive (Senior Management) Board 3.5-Academic Board 3.6-Organ Tissue Transplant Coordination Board 3.7-Brain Death Board 4-Responsible Teams 4.1-Rational Medicine Team 4.2-Palliative Care Team 4.3-Medical Device and Equipment Team 4.4-Building Tour Team 4.5-Emergency and Disaster Management Team 4.6-Nutrition Support Team 4.7-Lab Team 4.8-Clinical Quality Improvement Team 4.9-Medical Record and Documentation Team 4.10-Baby Friendly Hospital Team Security Reporting System In our hospital; To ensure the reporting of unwanted events that may threaten the safety of patients and employees. According to the Security Reporting Procedure, all Security Reporting System (Event Notification) Forms made by the hospital staff are delivered to Quality Management. All the notifications made are open to improvement by the Quality Management Representative and the Department Quality Officer. All notifications are evaluated by the related committees, and the Quality Management Representative checks with the Ministry of Health GRS notification System. As a result of the notifications, a Security Reporting System has been established to ensure that the necessary measures are taken for these events. Physical Field Management In our hospital; Building tours are organized at regular intervals to create a permanent, safe, and easily accessible hospital for patients, patient relatives, and employees. The team formed by the hospital management has been defined in a way to ensure the effectiveness, continuity and systematic of the work carried out in the hospital, taking into account the size of the hospital and the variety of services. Within the scope of the Annual Facility Maintenance Plan and Quality Management Annual Work Plan, a Building tour is held with the Building Tour Team every 3 months. Corrective \/ Preventive action is initiated for all detected nonconformity Elimination of nonconformity and the execution of work within the scope of patient and employee safety are ensured with the participation of senior management. Weekly field inspections are carried out by the Chief Physician and Nursing Services, Hotel Support Services, Patient Services, Technical Services, Quality Management Representative. Urgent nonconformity are resolved immediately, other detected nonconformity are improved by placing deadlines. Infection Control Nurse makes daily hospital visits. Improvement is planned according to the determinations. Self-Assessment Process Within the scope of Health Quality Standards (SKS), self-assessment (internal audit) is performed once a year in our hospital. Self-assessment team; It consists of General Manager, Medical Director, Human Resources Manager, Financial and Administrative Affairs Manager, Nursing Services Manager, Infectious Diseases &amp; Education &amp; Quality Responsible Nurses, Quality Director and Hospitality Services Officer. Self-assessment (internal audit) is conducted twice a year, in June and December. The self-assessment plan is prepared in a way to cover all sections within the Health Quality Standards. All departments are informed via e-mail about the audit schedule and plan prior to the self-assessment (internal audit). * While preparing the above text, Health Quality Standards-Hospital Set prepared by the Department of Health Quality and Accreditation was used. Quality Management Unit Patient Safety Objectives Support Services Facility Management Hospitality Services Information Management System Material and Device Management Medical Records and Archive Services Waste Management Outsourcing<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8611","page","type-page","status-publish","hentry","cms-no-post-thumbnail"],"_links":{"self":[{"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/pages\/8611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/comments?post=8611"}],"version-history":[{"count":0,"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/pages\/8611\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.istanbulhospital.com.tr\/en\/wp-json\/wp\/v2\/media?parent=8611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}