Bayram DEMİR, Keziban AVCI
Journal of Basic and Clinical Health Sciences - 2026;10(2):264-275
Purpose: Quality management systems in healthcare services are developing within a multi-layered structure through general management standards, sector-specific adaptations, and accreditation frameworks. This study examines ISO 9001, ISO 15224, ISO 7101, the European Foundation for Quality Management Excellence Model, and healthcare-specific accreditation systems (such as standards developed by he Joint Commission International and the Türkiye Health Care Quality and Accreditation Institute in terms of scope, conceptual orientation, clinical risk management, performance measurement, and external evaluation mechanisms. Material and Methods: The research used the qualitative document analysis method. Relevant standard texts and official documents were evaluated through thematic content analysis. Results: The results show that ISO 9001 provides a process architecture for quality management independent of the sector; ISO 7101 is a quality management system for healthcare organizations; ISO 15224 integrates clinical risk management into the core of the system; and accreditation systems in healthcare contain more detailed and operational clinical requirements. The EFQM model, on the other hand, offers a governance framework that provides a perspective on organizational maturity and sustainable performance rather than being a compliance-based certification standard. Conclusion: The study demonstrates that these systems are complementary, not contradictory, and that they create a layered quality architecture in healthcare organizations.
