Quality improvement is a continuous process that builds upon traditional quality assurance methods by emphasizing the organization and focuses on “processes” rather than on the individual; recognizes both internal and external “customers;” promotes the need for objective data to analyze and improve processes; carried out by both employees and managers. Although this may be achieved by EBP, it is often achieved by the collection of raw data on patient outcomes, sentinel events, negative clinical outcomes or errors from an institution or organization. This data is often specific to the institution or organization.