The article presents the results of a project carried out by a group of four nurse managers of the Hospital "Ospedale di Circolo e Fondazione Macchi" in Varese, Italy, in order to accreditate the Nursing Service. After its constitution and formalization in 1994 and the definition of the goals of the Service, the process of continuous improvement of quality has been described. The accreditation process has led to the compilation of the Quality handbook. The Authors describe all the phases and the contents of each Manual chapter with explicative tables enclosed. The conclusions summarize the positive aspects at this point of the never ending work of continuous improvement of Quality.
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