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Quality Improvement is a formal approach to the analysis of performance and systematic efforts to improve it. It can be differed into Quality Assurance (QA) and Quality Improvement (QI). QA refer to the reactive, retrospective, policing, and in many ways punitive. It often involved determining who was at fault after something went wrong. This term is older and not as likely to be used today. Whereas, QI involves both prospective and retrospective reviews. It is aimed at improvement - measuring where you are, and figuring out ways to make things better. It specifically attempts to avoid attributing blame, and to create systems to prevent errors from happening. Another definition that is available is “Systematic, data-guided activities designed to bring about immediate improvement in healthcare delivery in particular settings.” (Lynn, et al, 2007, p. 667) As we all know, in today’s world, almost 90% of our expenses goes to treating the sick and only 10% spent on wellness and prevention of health problems. Batalden and Stoltz stated that “improvement knowledge” is divided into eight knowledge domains in order to improve health care. This eight domain is: 1. Health care as a process and system: the people, procedures, activities, and technologies of care giving that works together for the need of individuals and communities. 2. Variation and measurement: measurement uses to understand the variation across and within systems to improve the design and redesign of health care. 3. Customer/beneficiary knowledge: an understanding of their needs and preferences, and the relationship of health care to those needs and preferences. 4. Leading, following, and making changes in health care 5. Collaboration: the knowledge, methods, and skills needed to work effectively in groups, 6. Social context and accountability: an understanding…...

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