The ACSQuality Verification Programâ„¢ (ACSQVP) standards manual, Optimal Resources for Surgical Quality and Safety, 2021 ACSQVP Standards, details the 12 salient elements of surgical quality. These elements were adapted from theÌýOptimal Resources for Surgical Quality and Safety—also known as the "Red Book"—into standards that form the foundation of the ACSQVP. These standards span all surgical specialties to provide a blueprint for hospitals and hospital systems to build a successful surgical quality program by establishing, measuring, and continuously improving their surgical quality infrastructure.