Self-Assessment Plans
Our 2026 self-assessment plans within the framework of the Health Accreditation Standards (SAS) and the Health Quality Standards (SKS).
SAS Self-Assessment Plan 2026
31 sections
What: Documents to be prepared in accordance with the SAS Outpatient Set standards (Procedures, Instructions, Forms, Meeting Decisions, DİF and Analyses) and their status in practice
1. Management and Organisation
Organisational Structure
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Senior Management
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer · Responsible Manager
- Duration
- 1 hour
Core Objectives and Policies
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Senior Management
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer · Departmental Officers (departmental goal plans)
- Duration
- 1 hour
Quality Management Structure
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer
- Duration
- 1 hour
Document Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / All Units
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer (Quality Document Officer)
- Duration
- 1 hour
Adverse Event Reporting System
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / All Units
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer · Patient Safety Committee
- Duration
- 1 hour
Risk Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / İSG / All Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- OHS Specialist (Departmental Quality Officer) · Departmental Officers
- Duration
- 1 hour
Training Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Training Unit / Site Visit
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Training Nurse (Departmental Quality Officer) · Training Management Committee
- Duration
- 1 hour
Social Responsibilities
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer
- Duration
- 1 hour
Corporate Communication
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Patient Services (Registration-Front Desk) / IT
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer · Administrative Affairs Manager
- Duration
- 1 hour
2. Performance Measurement and Quality Improvement
Monitoring of Indicators
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Units Responsible for Indicators
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer · Indicator Officers
- Duration
- 1 hour
3. Healthy Working Life
Human Resources Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Human Resources Department / All Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Human Resources Manager · Training Nurse (Departmental Quality Officer)
- Duration
- 1/2 working day
Employee Health and Safety
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- All Units / İSG
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Training Nurse (Departmental Quality Officer) · OHS Specialist, Occupational Physician (external service)
- Duration
- 1/2 working day
4. Patient Experience
Basic Patient Rights
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Patient Services (Registration-Front Desk) / Surgical Observation Rooms
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Rights Officer (Outpatient Clinic Lead)
- Duration
- 1/2 working day
Patient Safety
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Operating Theatre / Surgical Observation Rooms / Emergency Room / Oral and Dental Health / Hair Transplantation
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Rights Officer · Health Care Services Manager · Patient Safety Committee
- Duration
- 1/2 working day
Patient Feedback
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Patient Rights Unit / Patient Services (Registration-Front Desk)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Rights Officer
- Duration
- 1/2 working day
Access to Services
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Patient Services (Registration-Front Desk) / Outpatient Clinics / Building Entrances and Signage
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Rights Officer (Outpatient Clinic Lead) · Administrative Affairs Manager
- Duration
- 1/2 working day
5. Health Services
Prevention of Infections
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- All Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Infection Control Nurse (Departmental Quality Officer) · Infection Control Committee
- Duration
- 1/2 working day
Sterilisation Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Sterilisation Unit / Units Using Sterile Materials
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Sterilisation Unit Lead · Infection Control Nurse
- Duration
- 1/2 working day
Medication Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Medical Warehouse (Medicine and Consumables Stores) / Outpatient Clinics / Emergency Room / Surgical Observation Rooms
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Medical Warehouse Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Patient Care
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Surgical Observation Rooms / Oral and Dental Health / Hair Transplantation / Medical Aesthetics
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Health Care Services Manager · Surgical Observation Rooms Nurse in Charge · Dental and Hair Transplant Unit Leads
- Duration
- 1/2 working day
Safe Surgery
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Operating Theatre / Oral and Dental Health (surgical procedures)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Operating Theatre Nurse in Charge (Departmental Quality Officer)
- Duration
- 1/2 working day
Radiation Safety
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Imaging Unit (Panoramic / Periapical / Dental Tomography) / Operating Theatre
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Radiation Protection Officer · Radiation Safety Committee
- Duration
- 1/2 working day
Laboratory Services
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Laboratory / Sample Collection Area (advanced tests via external service)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Laboratory Lead
- Duration
- 1/2 working day
Emergency Health Services
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Emergency Room
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Emergency Room Lead (Departmental Quality Officer)
- Duration
- 1/2 working day
6. Support Services
Hospitality Services
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- All Units / Laundry Collection-Handover Area / Food Service Area (contracted service)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Administrative Manager - General Administrative Services (Departmental Quality Officer)
- Duration
- 1/2 working day
Facility Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Technical Service / Biomedical / Facility-wide (generator, UPS, water tank, medical gas)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Technical Service Officer (Departmental Quality Officer) · Facility Safety Committee
- Duration
- 1/2 working day
Waste Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- All Units / Temporary Waste Storage Areas
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Waste Management Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Information Management (including Medical Records and Archive)
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- IT / Server Room / Medical Records and Archive
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- IT Officer (Departmental Quality Officer) · Patient Registration Staff (Medical Records and Archive)
- Duration
- 1/2 working day
Materials and Equipment Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Medical Warehouse / Biomedical / Units Using Devices
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Biomedical Officer (Departmental Quality Officer) · Medical Warehouse Officer
- Duration
- 1/2 working day
Outsourcing
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Purchasing (food, laundry, laboratory, prosthetics laboratory, İSG contracted services)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Purchasing Manager · Administrative Affairs Manager
- Duration
- 1/2 working day
7. Emergency and Disaster Management
Emergency Management
- Planned Date
- 01.09.2026-03.09.2026
- Actual Date
- 01.09.2026-03.09.2026
- How
- SAS Standards List · Site visit and review of documents
- Where
- All Units / Site Visit (emergency exits, assembly area, fire equipment)
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- OHS Specialist (Departmental Quality Officer) · Emergency Teams
- Duration
- 2 hours
SKS Self-Assessment Plan 2026
26 sections
What: Documents to be prepared in accordance with the Quality Standards (Procedures, Instructions, Forms, Meeting Decisions, DİF and Analyses) and their status in practice
Corporate Services
Corporate structure
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 01.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer
- Duration
- 1 hour
Quality Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 01.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer
- Duration
- 1 hour
Document Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 01.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer (Quality Document Officer)
- Duration
- 1 hour
Risk Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 01.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / ISG / All Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- OHS Specialist (Departmental Quality Officer)
- Duration
- 1 hour
Emergency and Disaster Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 01.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Site Visit
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- OHS Specialist (Departmental Quality Officer)
- Duration
- 2 hours
Training Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 01.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit / Site Visit
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Training Nurse (Departmental Quality Officer)
- Duration
- 1 hour
Patient- and Employee-Focused Services
Patient Experience
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 02.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Surgical Observation Rooms / Emergency Room
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Rights Officer (Outpatient Clinic Lead)
- Duration
- 1/2 working day
Access to Services
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 02.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Surgical Observation Rooms / Emergency Room
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Rights Officer (Outpatient Clinic Lead)
- Duration
- 1/2 working day
Healthy Working Life
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 03.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- All Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Training Nurse (Departmental Quality Officer) · Human Resources Manager
- Duration
- 1/2 working day
Health Services
Prevention of Infections
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 03.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- All Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Infection Control Nurse (Departmental Quality Officer)
- Duration
- 1/2 working day
Cleaning, Disinfection and Sterilisation Services
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 06.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Sterilisation Unit
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Sterilisation Unit Lead · Infection Control Nurse
- Duration
- 1/2 working day
Medication Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 06.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Surgical Observation Rooms / Emergency Room / Medical Warehouse
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Medical Warehouse Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Patient Care
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 07.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Surgical Observation Rooms
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Health Care Services Manager
- Duration
- 1/2 working day
Radiation Safety
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 07.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Imaging Unit / Operating Theatre / Outpatient Clinics
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Radiation Protection Officer
- Duration
- 1/2 working day
Emergency Room
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 08.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Emergency Room
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Emergency Room Lead (Departmental Quality Officer)
- Duration
- 1/2 working day
Operating Theatre
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 08.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Operating Theatre
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Operating Theatre Nurse in Charge (Departmental Quality Officer)
- Duration
- 1/2 working day
Medical Laboratory
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 09.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Laboratory
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Laboratory Lead
- Duration
- 1/2 working day
Support Services
Facility Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 09.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Technical Service / Biomedical / Relevant Units
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Technical Service Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Hospitality Services
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 10.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Outpatient Clinics / Surgical Observation Rooms / Food Service Area / Laundry Collection-Handover Area
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Administrative Manager - General Administrative Services (Departmental Quality Officer)
- Duration
- 1/2 working day
Information Management System
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 10.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- IT
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- IT Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Materials and Equipment Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 11.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Medical Warehouse / Sterile Store
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Biomedical Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Medical Records and Archive Services
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 11.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Archive
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Patient Registration Staff (Departmental Quality Officer)
- Duration
- 1/2 working day
Waste Management
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 13.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- All Units / Waste Storage Areas
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Waste Management Officer (Departmental Quality Officer)
- Duration
- 1/2 working day
Outsourcing
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 13.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Quality Management Officer · Self-Assessment Team Member (List of Committees and Teams)
- Assessed
- Purchasing Manager · Quality Management Officer
- Duration
- 1/2 working day
Indicator Management
Monitoring of Indicators
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 14.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer
- Duration
- 1/2 working day
Quality Indicators
- Planned Date
- 01.07.2026-10.07.2026 · 21.12.2026-25.12.2026
- Actual Date
- 14.07.2026
- How
- SKS Standards List · Site visit and review of documents
- Where
- Quality Management Unit
- Assessor
- Self-Assessment Team Members (cross-assessment; List of Committees and Teams)
- Assessed
- Quality Management Officer
- Duration
- 1/2 working day