Document Detail


Overcoming the barriers to implementation of TQM/CQI in hospitals: myths and realities.
MedLine Citation:
PMID:  8488043     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Many health care organizations are attempting to rapidly implement total quality management (TQM) and continuous quality improvement (CQI) philosophies and concepts. In the case of hospitals, a number of issues resulting from traditional organizational design and management practices as well as the characteristics of health care professionals pose significant challenges to rapid implementation. Recognizing and developing strategies to address these challenges, along with realizing that TQM and CQI represent viable processes for conducting organizational "preventive maintenance," may help in changing the focus of quality assessment and enhancement initiatives from processes that are "broken" to processes that should be "fixed" before they "break." This article discusses strategies for overcoming some of the major barriers and challenges to successful TQM and CQI implementation to the hospital setting.
Authors:
D S Wakefield; B J Wakefield
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  QRB. Quality review bulletin     Volume:  19     ISSN:  0097-5990     ISO Abbreviation:  QRB Qual Rev Bull     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-06-07     Completed Date:  1993-06-07     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  7504127     Medline TA:  QRB Qual Rev Bull     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  83-8     Citation Subset:  IM    
Affiliation:
Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City 52242.
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MeSH Terms
Descriptor/Qualifier:
Hospital Administration / methods,  standards*
Humans
Interprofessional Relations
Medical Staff, Hospital
Organizational Objectives
Quality Assurance, Health Care / organization & administration*
Quality Control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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