The special achievements in studies on quality improvement in health care are attributed to the United
States, where in 1951 The Joint Commission on Accreditation of Healthcare Organisations (JCAHO) was established. Already after a few years all types of medical facilities were within the scope of the organisation. The Joint Commission on Accreditation of Healthcare Organisations dealt with the requirements for the health care facilities, guidelines of conduct in specific clinical situations, and the accreditation system elaborating.
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