Objective: To investigate the causes, measures and effects of nursing quality in Department of hepatobiliary surgery. Methods: to analyze the causes of nursing quality of Department of hepatobiliary surgery nursing work, to improve the implementation of the appropriate measures and countermeasures according to the results, the establishment of quality control groups, the relevant guidelines make common disease of nursing, combination of centralized and hierarchical training of nurses, the ful implementation of the quality of nursing management. Results: after the implementation of nursing adverse events as wel as the rate of the occurrence of complaints rate decreased significantly; patients and family satisfaction for nursing work increased significantly, the data was statistical y significant difference between groups (P < 0.05). Conclusion: the implementation of the new nursing quality control and training mode, reduce the risk coefficient of nursing care, the nursing quality is improved, ensuring nursing safety, promote the harmonious nurse patient relationship.