According to the report “To Err is Human” the injuries from medical errors are immense and the majority of the errors do not result from individual recklessness but from the flaws in the way the healthcare is delivered. The purpose of this paper is to demonstrate the integrated Total Relationship Medical Management (TRMM) perspective, Total healthcare quality (THQ) and 5 qualities (5Qs) model as a new integrated measurement method which can build an effective and safe patient care environment and provide the guard of reducing the risk of medical and non-medical errors. Traditionally, medical and healthcare qualities have been measured using hard objective criteria such as mortality and morbidity. Soft assessments are often overlooked and neglected. The 5Qs model is more comprehensive and incorporates essential multidimensional attributes which are missing in the other models. A survey was conducted involving 223 inpatients in 8 public and private hospitals in China.