If we are truly committed to Quality, almost any mechanism will work. If we are not, the most elegantly constructed of mechanisms will fail” – Avedis Donabedian

According to the Institute of Medicine, quality is defined as the “degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge”. It is doing the right thing at the right time in the right way for the right person and having the best possible results.

It wasn’t until the 1999 when the quality of health was given high importance after the Institute of Medicine published the most famous articles in the health care revolution “To ERR Is HUMAN” and “Crossing the Quality Chasm” where the IOM highlighted that the health care in the US not as safe as it should be with 44,000-98,000 annual deaths as result of medical errors where 25-50% of these errors could be prevented. The concept of quality has evolved after that to include Quality Control; Quality Assurance; Continuous Quality Improvement CQI and Total Quality Management TQM.