The "golden rules" of CQI, from our experience, could be summarized as follows: 1. Create the appropriate environment first by teaching the Deming principles. 2. Establish effective methods of group communication. 3. Do not focus on individual error. Focus on processes and your system of care. Make certain that case presentations do not spotlight individuals. 4. Look for the common causes of problems. 5. Use statistical methods appropriately. Identify what is clinically important. Make any data collection effort meaningful, and make sure that all members understand why the data is being collected. 6. If an error is identified, ensure that the practitioners involved are active participants in the analysis. 7. Recognize good performance. If something is done well, have the provider present the case to the group. This step is particularly worthwhile if the case illustrates a new process that will remedy a problem other members of the department have experienced.