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For a long time, the concept of quality and the quality approach were considered to be specific to industry, the design sector and the management of new communication technologies. The concept is now making its way into the medical and hospital sectors. Examples from around the world (notably hospital accreditation procedures in Europe) have sufficiently demonstrated the applicability of this concept in health establishments. Hôpital du Mali, a public hospital with a general vocation and a 3rd reference, also wants to be a reference hospital in the quality approach, through the management's particular interest in controlling the quality of its medical services. To this end, it has initiated and implemented, from the very first years of operation, certain quality concept reference documents, such as the internal regulations and the Procedures Manual. The study area is the Hôpital du Mali, located in the Missabougou district of Bamako's Commune VI.The purpose of the hospital's white plan is to improve conditions for managing an exceptional health crisis at the hospital.