Ensuring the quality and safety of the care of patients and users is a constant concern of the Alliance Hospital Center. We draw on best practices in care and service organization to fully play our role as a reference general hospital. The improvement of the quality of care constantly requires the search for an optimal quality, because of a double evolution: that of the knowledge and the techniques and that of the needs of the patients. Continuous improvement of quality of care through a quality approach The process of continuous improvement of the quality and safety of care is based on an institutional policy of morbidity and mortality review (RMM). The implementation of an adverse event management system allows the feedback of information on potential or proven risks. Through this approach, teams and / or the institution draw lessons from these events and implement improvement actions that fit into the program. They aim to reduce or eliminate the unwanted event. The systemic analysis, conducted during the RMM, is a global analysis of the situation, taking into account all the elements (organizational, technical and human) in interaction that contributed to the care of a patient. As a result, it allows us to go beyond thinking about one or more individuals. At the end of this analysis, we learn from existing strengths and vulnerabilities to carry out actions to improve the quality and safety of care. The quality and safety of care policy The Alliance Hospital Center has always been committed to a policy of continuous quality improvement, in order to meet the expectations of patients and users. This policy is reflected in the acquisition of state-of-the-art equipment and the use of the most innovative approaches proven by evidence. This policy is therefore the business of all CHME professionals. It is integrated and shared by all actors, medical and non-medical, particularly through the evaluation of professional practices.