Classical random walks and Markov processes are easily described by Hopf algebras. It is also known that groups and Hopf algebras (quantum groups) lead to classical and quantum diffusions. We study here the more primitive notion of a quantum random walk associated with a general Hopf algebra and show that it has a simple physical interpretation in quantum mechanics. This is by means of a representation theorem motivated from the theory of Kac algebras: If H is any Hopf algebra, it may be realized in Lin(H) in such a way that Δh=W(h⊗1)W−1 for an operator W. This W is interpreted as the time evolution operator for the system at time t coupled quantum-mechanically to the system at time t+δ. Finally, for every Hopf algebra there is a dual one, leading us to a duality operation for quantum random walks and quantum diffusions and a notion of the coentropy of an observable. The dual system has its time reversed with respect to the original system, leading us to a novel kind of CTP theorem.