“…Setting potentially irrelevant standards to QoL outcomes increases patient burden and the likelihood of an insignifi cant fi nding or even health system dysfunction. The chosen standards are not suffi ciently specifi c to be sensitive to the improvement taking place during the treatment period In some researches, accreditation has improved certain aspects of QoL, such as patient safety (Al-Awa et al, 2011), and overall performance (Riley et al, 2012). This paper has not yet clearly indicated such improve-ment.…”