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Improving Quality Care Kimberly KuttnerQuality ImprovementSanta Fe CollegeQuality ImprovementImproving quality care has always been one of the motives for health care providers as early as the 1860’s (Kovner, Brewer, Yingrengreung, & Fairchild, 2010). Florence Nightingale was one of the pioneers in nursing and used a new technique at the time of statistical analysis of preventable.