Quality Assurance and Quality Improvement

Quality assurance: refers to the activities that are used to monitor, evaluate, and control services provided to consumer.

Quality improvement: the ongoing activities designed to objectively and systematically evaluate the quality of patient care and services, pursuer opportunities to improve patient care and services and resolve identified problems.

– quality assurance focuses primarily on clinical aspects of care and practitioner performance.

– Quality improvement focuses on process of service and care as well as customers perceptions.

Objectives of quality improvement:

– To enhance quality care.

– To achieve enhancing efficiency in using existing resources in all countries and containing the cost spiral in some countries.

– Protecting the healthy of the public.

– Monitoring the quality of service.


Core principles of quality management:

– A clear intention to improve both cost and quality.

– Focuses on customer needs

– Focus on process and system as the causes of quality.

– The proper use of statistic and measurement to draw sound lessons from variations.

– Involvement of everyone in improvement, with emphasis on skills and knowledge working always " upstream " instead of " downstream “

– Team work, emphasize effective interdependence.

– Emphasis on the key role of leaders in supporting improvement.


Quality improvement must contain four key elements:

1- QI must be customer driven.

2- QI must improve the work process and system.

3- QI must raise performance standards and assure conformance.

4- QI requires a supportive organizational culture.


Indicators for need improvement:

1- customer satisfaction.

2- Compliance with health care system.

3- Distribution of service provided.

4- Efficient resources management.


Difference between Quality assurance & Quality improvement:

quality assurance

Quality improvement

Inspection oriented detection

Planning oriented " prevention"

Reactive Proactive

Correction of special clauses " individual, machine"

Correction of common causes " system

Responsibility of few

Responsibility of all

Narrow focus


Leadership may not be vested

Leadership activity leafing

Problem-solving by authority

Problem- solving by employees at all levels

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