Patient safety is primarily concerned with the avoidance, prevention, and improvement of adverse outcomes or injuries resulting from healthcare. It should address events spanning the continuum of “errors” and “deviations” to accidents (Vincent, 2006). In the last ten years there has been a strong wave of medical errors, which harm patients. This series of truly tragic healthcare cases fails to provide safe healthcare and therefore has led to the introduction of safety measures and the need to improve the quality of healthcare services. The Institute of Medicine started its quality initiative in 1996 and has published documented quality gap reports that include ;- National Roundtable on Quality: The Urgent Need to Improve Health Care Quality in 1998.- National Cancer Policy Board, Ensuring Quality Cancer Care in 1999. The burden of harm conveyed by the collective impact of all our health care quality problems is staggering (Chassin et al, 1998). The primary goal of launching the Health Care Quality Committee in America in 1998 was to establish a plan to achieve a threshold improvement in health care quality over the next ten years. The first report was 'To Err is Human: Building a Safer Health System' was presented by the Committee on Health Care Quality in America. At that time, 44,000 to 98,000 deaths per year were reported in America, although more people died from medical errors than from breast cancer, AIDS or motor vehicles (Bernnan et al, 1991; Thomas et al, 1999). creating a safer system of care and has become the current necessity. Media coverage of such issues expanded and became extensive, and the end result...... middle of paper ......asm: a new health system for the 21st century Washington, DC: National Academies Press.Ray, G.T., Lieu, T., Fireman, Collin, F., Colby, C.J., Quesenberry, C.P., Van Den Eeden, S.P., & Selby, J.V. (2001).The cost of sanitary conditions in a health maintenance organization. Medical Care Research and Review, 57(1), 92-109. Henry J. Kaiser Family Foundation. (2000). Prescription Drug Trends: A Chart. Menlo Park: Henry J. Kaiser Family Foundation. Robert Wood Johnson Foundation. (1996). Chronis Care in America: A 21st Century Challenge. Princeton: The Robert Wood Johnson Foundation. Thomas, E. J., Studdert, D. M., Newhouse, J. P., Zbar, B. I., Howard, K. M., Williams, E. J., & Brennan, T. A. (1999). Cost of Medical Injuries in Utah and Colorado. Investigation. 36(3), 255-265.Vincent, C. (2006). Patient safety. London: Elsevier Health Sciences.