Quality Assessment: Definition and Methods
Quality assessment is crucial in various fields to ensure the reliability and validity of data and processes. This article explores different approaches to quality assessment, including GRADE, Quality Assurance (QA), and Quality Control (QC).
The GRADE Approach
The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group was formed in 2000 to address the deficiencies of existing grading systems in healthcare. The working group has developed a common, sensible and transparent approach to grading quality of evidence and strength of recommendations.
The recent PRISMA 2020 reporting guidelines now request an assessment of the certainty of the evidence. While GRADE does consider risk of bias, it considers the body of evidence at the outcome level, not the study level.

Quality Assurance (QA) and Quality Control (QC)
Quality assurance (QA) and quality control (QC) measures ensure the precision and accuracy of the data collected. QA generally refers to the broader plan for ensuring quality in all aspects of a program. QC measures are the steps you will take to determine the validity of specific sampling and analytical procedures.
The QA plan describes the monitoring effort and includes proper documentation of procedures, volunteer training, study design, data management and analysis, and specific QC measures.
QA in Chemical Analysis
During the planning of a chemical analysis program, QA activities focus on defining data quality objectives and designing a QC system to measure the quality of data being generated. The Quality Assurance Project Plan (QAPP) is a formal planning document which describes how environmental information operations are planned, implemented, documented, and assessed during the life cycle of a project.
The table below summarizes the key differences between QA and QC:
| Feature | Quality Assurance (QA) | Quality Control (QC) |
|---|---|---|
| Focus | Preventing defects | Detecting defects |
| Nature | Proactive | Reactive |
| Scope | Broader, encompassing all processes | Specific, focusing on individual products or services |
| Goal | Ensure quality throughout the process | Verify that the product meets requirements |
