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In today's complex health care environment, quality improvement must be at hospitals. In this paper, total productive maintenance (TPM), equipment reliability, failure probability and mean time between failures (MTBF) are used to evaluate the medical equipment performance and/or effectiveness. Measurement is an important requirement of continuous improvement process. It is necessary to establish appropriate metrics for measurement purpose then monitoring will indicate the occurrence of improvement in the system. The objective of quantifying is to be able to measure the quality of a system.