A quantum probability measure–or quantum measurement–is said to be clean if it cannot be irreversibly connected to any other quantum probability measure via a quantum channel. The notion of a clean quantum measure was introduced by Buscemi et al (2005) for finite-dimensional Hilbert space, and was studied subsequently by Kahn (2007) and Pellonp"a"a (2011). The present paper provides new descriptions of clean quantum probability measures in the case of finite-dimensional Hilbert space. For Hilbert spaces of infinite dimension, we introduce the notion of `approximately clean quantum probability measures’ and characterise this property for measures whose range determines a finite-dimensional operator system.