In this article, the total quality programme in the Spanish health‐care system (1986‐1992) and the subsequent quality improvement steps that have led to definition and implementation of such an integrated framework, seeking a quality management system and patient safety, are discussed.
Ruiz, U. and Simon, J. (2004), "Quality management in health care: a 20‐year journey", International Journal of Health Care Quality Assurance, Vol. 17 No. 6, pp. 323-333. https://doi.org/10.1108/09526860410557570
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