OBJECTIVE 1
To improve the quality of healthcare services; to ensure that all healthcare services provided in our hospital are delivered in accordance with ethical principles, ensuring patient and staff satisfaction. Complete the missing service units in the new hospital, make them operational under optimal conditions and complete the staffing of missing specialist positions.
GOAL 2
Eliminate infrastructure, equipment and instrumentation deficiencies in the hospital; address all infrastructure, equipment and instrumentation deficiencies necessary for efficient and quality operations on a unit basis; adapt the building for disabled patients; and ensure annual maintenance, repair and calibration of all medical equipment.
OBJECTIVE 3
Make arrangements to increase the efficiency of the hospital; make arrangements to reduce the hospital’s consumption of electricity and water, ensure the effective and efficient use of the hospital’s automation system by users, organise and activate rest areas for staff and doctors to relax during breaks, and organise social activities to motivate all staff to participate on special days and weeks.
GOAL 4
Develop hospital staff in terms of quantity and quality; organise in-service training activities for hospital staff, identify training needs specific to departments and increase the number of health professionals in proportion to the needs arising from the provision of health services.
GOAL 5
Improve communication between patients, patients’ relatives, hospital staff and hospital management; provide in-service training to hospital staff on patients’ rights, body language and communication with patients; implement changes on a unit basis by considering suggestions and complaints from suggestion/complaint boxes; develop hospital brochures and ensure that they are available in places accessible to patients and their relatives. In order to increase patient satisfaction with the provision of healthcare services, ensure that suggestions and complaints from patients are taken into account.
Committees and teams created within the framework of the Quality Management System (QMS)
STAFF OF THE QUALITY MANAGEMENT UNIT
- Chief Physician/Director of Quality Management
- Deputy Chief Physician/Director of Quality Management
- Administration Manager
- Nursing Services Manager
- Corporate Quality Officer – Employee Representative
- Occupational Safety Specialist
OCCUPATIONAL HEALTH AND SAFETY / RADIATION PROTECTION / EMPLOYEE SAFETY COMMITTEE
- Chief Physician
- Occupational health physician
- Specialist in internal medicine
- Radiology Specialist
- Administrative Manager
- Nursing services manager
- Infection Control Nurse
- Corporate Quality Officer – Employee Representative
- Occupational Safety Specialist
- Housekeeping Services Manager
- Radiology Department Manager
BLOOD TRANSFUSION COMMITTEE
- Microbiology Specialist
- Internal Medicine Specialist
- Pediatrics Health and Diseases Specialist
- General Surgery Specialist
- Anaesthesiology and Reanimation Specialist
- Nursing Services Manager
- Corporate Quality Officer
- Hemovigilance Responsible Nurse
- Blood Transfusion Centre Manager
RATIONAL DRUG USE UNIT
- Chief Physician
- Internal Medicine Specialist
- Cardiology Specialist
- Nursing Services Manager
- Pharmacist / Pharmacovigilance Officer
- Corporate Quality Officer
- Corporate Quality Staff
- Patient Rights Unit Manager
INFECTION CONTROL COMMITTEE
- Chief Physician
- Microbiology Specialist
- Occupational Health Specialist
- Internal Medicine Specialist
- Pediatrics Health and Diseases Specialist
- Orthopaedics and Traumatology Specialist
- Nursing Services Manager
- Infection Control Nurse
- Pharmacist / Pharmacovigilance Officer
- Corporate Quality Officer
- Operating Room Charge Nurse
- Adult Intensive Care Unit Charge Nurse
EDUCATION COMMITTEE
- Chief Physician
- Nursing Services Manager
- Administrative Affairs Manager
- Internal Medicine Specialist
- Corporate Quality Officer
- Infection Control Nurse
- Patient Rights Officer
- IT Supervisor – National Health System (USS) Officer
- Biomedical Supervisor
- Health and Safety Officer
- Housekeeping Supervisor
FACILITY SAFETY COMMITTEE
- Chief Physician
- Head of Administration
- Nursing Services Manager
- Occupational Safety Specialist
- Biomedical Officer
- Corporate Quality Officer
- IT Supervisor – National Health System (USS) Officer
- Procurement Officer
- Housekeeping Supervisor
PATIENT SAFETY COMMITTEE
- Chief Physician
- Workplace Physician
- Anaesthesiology and Reanimation Specialist
- Nursing Services Manager
- Administrative Affairs Manager
- Pharmacist / Pharmacovigilance Officer
- Corporate Quality Officer
- IT Supervisor – National Health System (USS) Officer
- Infection Control Nurse
- Biomedical Supervisor
CLINICAL QUALITY COMMITTEE
- Chief Physician
- Orthopaedics and Traumatology Specialist
- Internal Medicine Specialist
- Ophthalmology Specialist
- General Surgery Specialist
- Nursing Services Manager
- Administrative Affairs Manager
- IT Manager – National Health System (USS) Officer
- Corporate Quality Officer
MOTHER-BABY FRIENDLY COMMITTEE
- Chief Physician
- Child Health and Diseases Specialist
- Obstetrics and Gynaecology Specialist
- Dietitian
- Pharmacist / Pharmacovigilance Officer
- Nursing Services Manager
- Corporate Quality Officer
- Neonatal Intensive Care Unit Supervisor
- Delivery Room Supervisor
ORGAN DONATION COMMITTEE
- Chief Physician
- Nursing Services Director
- Hospital Administrative Affairs Director
- Corporate Quality Coordinator
- Anaesthesiology and Reanimation Specialist
- Neurology Specialist
- Neurosurgery Specialist
- Cardiology Specialist
- Adult Intensive Care Unit Supervisor
- Lead Anaesthesia Technician
NUTRITIONAL ASSESSMENT COMMITTEE
- Chief Physician
- Director of Nursing Services
- Anaesthesia And Reanimation Specialist
- Child Health and Diseases Specialist
- Internal Medicine Specialist
- Corporate Quality Officer
- Dietitian
- Pharmacist / Pharmacovigilance Officer
- Nutrition Responsible Nurse
- Adult Intensive Care Unit Supervisor
CONSULTATION PROCESSES EVALUATION COMMITTEE
- Chief Physician
- Administrative Affairs Manager
- Nursing Services Manager
- Internal Medicine Specialist
- General Surgery Specialist
- Cardiology Specialist
- Obstetrics and Gynaecology Specialist
- Child Diseases and Health Specialist
- Neurology Specialist
- Orthopaedics and Traumatology Specialist
- Emergency Service Responsible Physician
- Head of Emergency Services
- Corporate Quality Officer
QUALITY COMMITTEE UNIT RESPONSIBLES
- Chief Physician
- Director of Nursing Services
- Hospital Administrative Affairs Manager
- Corporate Quality Officer
- Dietitian
- Pharmacy / Pharmacovigilance Officer
- Occupational Health and Safety Specialist
- Housekeeping Supervisor
- Emergency Department Officer
- Laboratory Supervisor
- Surgery 1st ward Supervisor
- Surgery 2nd Service Supervisor
- Internal Medicine 4th Service Responsible
- Internal Medicine 5th Service Responsible
- Adult Intensive Care Unit Supervisor
- Operating Theatre Supervisor
- Neonatal Intensive Care Unit Supervisor
- Delivery Room Supervisor
- Anaesthesia Supervisor
- Infection Control Nurse
- Data Processing Officer – USS Officer
- Imaging Unit Supervisor
- Physical Medicine and Rehabilitation Unit Manager
- Patient Rights Officer
- Records and Automation Systems Officer
- Public Relations Officer
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