美国医疗保健机构评审联合委员会(JCAHO)在1992年1月出版的《医院评审手册》中,将增加关于质量管理的新标准,称为连续性质量改进(Continuous Quality Improvement,CQI)。为此要求各医院熟悉新标准并加以实施。改进的重点是对手术病人的审查、用血与用药的评估等三个方面。从1992年开始,虽然评审医院时并不一定必须符合新的标准,但必须使有关人员对此 The Joint Review Committee of the United States Health Care Organizations (JCAHO) will add a new standard for quality management in the January 1992 issue of the Hospital Assessment Manual, known as the Continuous Quality Improvement (CQI). For this purpose, each hospital is required to become familiar with the new standard and implement it. The focus of the improvement is on the three aspects of the examination of surgical patients, the use of blood and the evaluation of medications. Since 1992, although the assessment of hospitals does not necessarily have to comply with the new standards, it must be made relevant to personnel.