Continuous improvement is dedication to the proposition that we can always become better. Continuous quality improvement is about objectively evaluating our performance, continuing to set high goals, and pushing ourselves to achieve those goals in tangible ways. Willingness to ask for feedback and comments. Companies that excel at continuous improvement start from the belief that success comes from: Innovating “how” they do what they do, large and small. Engage all employees to share knowledge and generate ideas for improvement. Explore better ways to respond to customers and respond to changes in the external environment. Quality improvement collaborations, Six Sigma and Lean are notable examples due to the current investment in their use. Quality improvement collaborations differ from CQI in that they bring together teams from multiple organizations to work on the same topic over a defined period of time. In a thoughtful essay comparing quality strategies in the UK and US, Ferlie and Shortell describe four levels as those that work: at the individual level such as staff training, at the group or team level such as team development and course redesign, at the organizational level as an approach to quality improvement and assurance, and, The most significant change in quality assurance in the College Affordability Act is increased emphasis on using student scores in reviews that accrediting agencies conduct of colleges to ensure this. Academic development and the quality of higher education as an area of ​​practice and scholarship are increasingly becoming an important feature of higher education institutions. As a result, higher education institutions are forced to improve their academic programs and ensure their compatibility with international standards. According to Gosling 2009, an effective preceptorship program has long-term effects on the confidence and preparation of newly qualified NQN nurses and ultimately the retention of these new members of the nursing workforce Woodruff, 2017. Nursing workforce retention is an important issue across the country. the NHS, with more, The emphasis on continuous improvement is incremental improvement within an existing process. Many say that building quality takes time and money. However, authors and practitioners like Crosby argue that quality means that a business organization that establishes a quality program will realize more savings than Avedis Donabedian, considered by many to be the father of quality improvement, contributed to lay the foundation for the field with the publication of the article Assessing the Quality of Medical Care. 1 This article first details fundamental concepts that are still central today in quality improvement, such as the importance of considering structures,