Large Language Models (LLMs) excel in diverse applications but suffer inefficiency due to massive scale. While quantization reduces computational costs, existing methods degrade accuracy in medium-sized LLMs (e.g., Llama-3-8B) due to activation outliers. To address this, we propose QUAD (Quantization with Activation Decomposition), a framework leveraging Singular Value Decomposition (SVD) to suppress activation outliers for effective 4-bit quantization. QUAD estimates activation singular vectors offline using calibration data to construct an orthogonal transformation matrix P, shifting outliers to additional dimensions in full precision while quantizing rest components to 4-bit. Additionally, QUAD enables parameter-efficient fine-tuning via adaptable full-precision outlier weights, narrowing the accuracy gap between quantized and full-precision models. Experiments demonstrate that QUAD achieves 94% ~ 96% accuracy under W4A4 quantization and 98% accuracy with W4A4/A8 and parameter-efficient fine-tuning for Llama-3 and Qwen-2.5 models. Our code is available at \href{https://github.com/hyx1999/Quad}{repository}.