Since the third edition of this handbook was published in 1998 there has been a radical change to the ISO 9000 family of standards. The standards have changed in structure from 20 elements to 8 sections; they have changed in intent from quality assurance to customer satisfaction; the terminology has changed so as to suit all types of organizations and there has been a change in direction from a focus on planning, inspection and test and the removal of nonconformity to a focus on objectives, processes, measurement, analysis and improvement