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A search conducted in June 2016 in the ONA database identified that 515 health institutions are accredited by the organization.Figure 1 shows the geographic location of the services accredited by ONA in Brazil.In Brazil, hospital accreditation began to be discussed in 1995, when the Ministry of Health created the program “Quality Assurance and Improvement in Health,” which led to the formation of a technical committee, responsible for the elaboration of the new quality guidelines in the country that resulted in the creation of the “Brazilian Manual of Hospital Accreditation” and the Brazilian Accreditation System (SBA).The standard established by the Brazilian manual is based on three levels of complexity: level 1: accredited, refers to the existence of processes aimed at ensuring the safety of the patient; level 2: full credential, refers to the integrality of the management, involving the monitoring of security barriers, processes, and protocols implemented, involving a critical analysis of the controls of care processes, establishments of action plans, improvement plans, and the intersectoral interaction; level 3: accredited with excellence, the organization has already incorporated a critical follow-up of the designed processes of its assistance results, developing cycles of improvement in a systematic way; decision making aligned with institutional strategic planning [10].Several factors have contributed to the adoption of quality management strategies by the organizations in order to improve their performance and obtain greater market share [4].

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Pham Tan Tai, master, Department of Information and Management, Lunghwa University of Science and Technology, Taoyuan City, Taiwan. International Journal of Retail and Distribution Management, 31(6), 340-348. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.