Introduction Quality is not a new word in health care today. Although at one time it was less heard of and had little meaning. During the time when quality was not given the attention needed, the healthcare world had several issues emerge that caused people to question how helpful and safe the care that they were receiving was and they lost trust in the system. Today, the health care sector has a new respect for quality standards after years of improvements have been made. The impact of quality took a turn when the Institute of Medicine (IOM) released reports on their findings of medical errors and other issues at the end of the twentieth century and beginning of the twenty-first century. Organizations built up quality initiatives, physicians
