Patient Safety
24 Haziran 2020

- The relevant staff will inform you before all procedures to be performed in the hospital.
- Your oral and written consent is always obtained before the surgery/surgical procedure/risky procedures to be performed on you.
- During shifts, the necessary delivery-consolation process is provided between health workers outside of working hours.
- You can easily ask your doctor/nurse all the questions you want to ask.
- All applications made to you are saved in your health file.
- During your discharge, the necessary information about your home care is given by your physician/nurse and delivered to you in writing.

- The right patient; patient identification is always done before applying medication. The patient's identification information is checked by asking the patient's name-surname and date of birth in cooperation with the patient, and by checking the name-surname and protocol number through the armband.
- The right medication; before the application of the drug, the doctor is required to make the necessary controls to be the same as the medicine prescribed at the prompt.
- The right time, the right dose, the right way, the right technique; before the drug applications, the medicine written at the doctor's request is applied at the right time, at the right dose, in the right way and with the right technique.
- Correct miat; expiration dates of drugs are checked before drug applications.
- The right approach and information; before the drug applications, the patient and the patient's relatives are informed about the name of the drug, what it is given for and its side effects. It approaches the patient in a manner and behavior, empathizing and ethically. The nurse washes her hands in accordance with the standards before and after all drug applications.
- The correct registration is recorded in the patient file after all drug applications for the continuity and safety of patient treatment.
- Correct effect; drug-drug, drug-Food Interactions and fasting/satiety criteria are checked before the drug is given to the patient. The effects of the drug on the patient and the side effects of the drug are monitored by the nurse after the application.
- During discharge, the patient and his / her relatives are given a list of drugs and all necessary information about the use of drugs are made.

- By the physician to the patient in which the operation/process must be done to, the patient's condition, proposed treatment, potential benefits and drawbacks of other possible alternatives, probability of success, recovery-related problems in a language that the patient understands the possible consequences of not being treated are informed about verbal and written confirmation is received from the patient.
- By the surgeon, 1 night before or morning of the surgical operation, including the patient in the process (if possible), the level/place of entry/side/single organ (where the place of entry is different from the place of the organ) of the operation/procedure is marked on the patient with an indelible marker.
- In addition, the doctor shall mark and approve the level/entry place/party/single organ to be operated on the related form in the patient file.
- The nurse makes the necessary patient preparation before the surgery and marks it on the relevant form. The entire preparation process is carried out in cooperation with the patient/family by asking the patient's name-surname and date of birth, and by checking the patient's name-surname and protocol number through the patient armband and documents.
- On the day of surgery, the patient is asked to the operating room with the form indicated which patient is requested.
-During the admission of the patient to the operating room, the nurse and the anesthesia technician who meets the patient receive-give the patient to each other. In this case, the patient's name-surname and date of birth are asked, and the patient's name-surname and protocol number are checked through the armband and documents and the delivery process is carried out. In unconscious, paediatric patients or mentally disabled patients, the next of kin are included in the authentication process at the delivery stage.
In the operating room, the surgeon asks everyone in the operating room to stop immediately before making the incision, and verbally confirms the patient's credentials (patient name, patient birth date, patient protocol number), the surgery to be performed, the area of the surgery and, where appropriate, the patient's position. Once everyone is sure to agree, the process begins.

- After determining the need for blood/blood product transfusion, the patient is informed by the physician and the patient's written consent is obtained.
- Before the blood/blood product is released from the Transfusion Center, necessary checks are made and the relevant form is filled out.
- The necessary checks are made before the blood is inserted into the patient and the related form is filled out.
- Before starting blood / blood product transfusion, 2 nurses compare the information on the bag (product type, bag number, expiration date) and the information on the form. Cross result, blood type and patient credentials are checked.
-In the patient room, the patient is included in the process (if conscious), his/her name-surname and date of Birth (Day, Month, Year) is asked and his / her name-surname and protocol number (from patient records) is checked through the armband, with three parameters, and blood / blood product is compared with the label information.
- Hands are washed according to the standards and the patient's vital signs are measured before starting the transfusion.
- The patient is observed for reactions by staying with the patient for the first 15 minutes after the transfusion.
- First 15 of the transfusion. every 30 minutes after the transfusion and 1 after the transfusion.the patient's vital signs are measured per hour.
- During and after the transfusion, the patient is monitored in the direction of the transfusion reaction.

- Our nurses assess the risk of all patients falling.
- The patient, the patient's relatives and companions are trained in the Prevention of falls.
- Adequate lighting and control of wet floors are provided in the room.
- Nurse call Bell, Telephone and other necessary materials are placed within the reach of the patient.
- The upper boards of the patient beds are upturned, the wheels are locked and positioned at the lowest level.
- Unnecessary items (such as cables) that will create the risk of being installed in patient rooms are not kept.
- Patients are informed about the use of bedside and WC nurse pagers for their use if needed.
- When the floors are cleaned, a warning sign is placed on the wet/slippery area by the cleaning staff.
- By preventing the use of Slipper with slippery soles or high heels, the use of the safe slippers provided by the hospital is ensured.
- The patient is advised to accompany him to the bathroom.
- Necessary support products (walker, chair, etc.) are provided to be used.
- During the Transfer, suitable transport such as wheelchair / stretcher / bathtub / cradle / stroller is used.
- Protected bed (baby bed) reserved for infants between the ages of 0-3 is used.
- In order to raise awareness to all health workers, patients at risk of falls are kept under constant surveillance in areas close to the nurse's counters by taking appropriate precautions in the Prevention of falls procedure and by filling out the fall risk assessment form if necessary.

- All employees wash their hands before and after contact with the patient and the items they use to protect both the patient and themselves/provide hand disinfection.
- All employees wear protective equipment in accordance with the standards necessary to protect both the patient and themselves.
- Patients with infection are monitored by the infection team.
- After each patient discharge, the room is cleaned in accordance with the standards.
- Patients are trained to prevent and control infections.
- Where necessary, isolation measures determined by standards are taken.
- Changing and cleaning of textiles used in patient rooms in accordance with the standards.
- All employees are trained in prevention and control of infections.
- In-house audit system is followed by the functioning of the processes.

- The necessary maintenance and calibrations of our devices where the inspections are carried out are done regularly.
-The correct operation status of the devices is evaluated by internal-external quality controls.
- Training is given to all health workers who use the devices.
- When the result of any examination is outside the normal limits, the patient's physician is immediately informed by telephone.

- Your medical information is only available to healthcare professionals involved in your process.
- Your examination results are only shared with you or with those you have given your consent.
- Speaking of medical information by employees outside the working process is strictly prohibited.

- High-risk patients are given priority in the treatment process.
- Patients are informed about the reasons for waiting and estimated waiting times when they need to wait in line and are referred to another health care facility where they can access the relevant service on request.

- The security of the hospital inside and outside the building is carried out by the security personnel of our hospital. The adequacy of the security services is supervised by the Chief of protection and security using the security elements audit form.
- The security services shall work in accordance with the security instructions regarding the measures to be taken in unexpected circumstances.
- Pink code procedure is applied to ensure the safety of baby/child patients coming to our hospital.
- Especially if employees are exposed to violence, the complaints of the employee are evaluated by filling out the incident Notification Form. If necessary, senior management is informed about the situation.