Total quality management

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In health care quality assurance, total quality management, also called continuous quality management, is "the application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures."[1][2]

One goal is to reduce clinical practice variation.

The Institute of Medicine[3] and the Agency for Healthcare Research and Quality[4] have addressed this topic.

The Lean method may be used.[5][6]

Kano proposes that customers want basic, linear, and attractive qualities.[7] Kano proposes that basic expectations are subconscious unless they are not met. On the other hand, attractive qualities are supraconscious and lead to delight when they are met.

References

  1. Anonymous (2024), Total quality management (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Shortell SM, Rundall TG, Hsu J (2007). "Improving patient care by linking evidence-based medicine and evidence-based management.". JAMA 298 (6): 673-6. DOI:10.1001/jama.298.6.673. PMID 17684190. Research Blogging.
  3. Fanjiang, Gary; Reid, Proctor P.; Grossman, Jerome H. (2005). Building a better delivery system: a new engineering/health care partnership. Washington, D.C: National Academies Press. ISBN 0-309-09643-X. 
  4. Valdez RS, Ramly E, Brennan PF. Industrial and Systems Engineering and Health Care: Critical Areas of Research--Final Report. (Prepared by Professional and Scientific Associates under Contract No. 290-09-00027U.) AHRQ Publication No. 10-0079. Rockville, MD: Agency for Healthcare Research and Quality. May 2010.
  5. McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K (2010). "Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.". BMJ 341: c5469. DOI:10.1136/bmj.c5469. PMID 21045024. Research Blogging.
  6. Vats A, Goin KH, Villarreal MC, Yilmaz T, Fortenberry JD, Keskinocak P (2011). "The impact of a lean rounding process in a pediatric intensive care unit.". Crit Care Med. DOI:10.1097/CCM.0b013e318232e2fc. PMID 21983366. Research Blogging.
  7. Kano, N (1995). “Upsizing the organization by attractive quality creation”, Kanji, Gopal K.: Total quality management: proceedings of the first world congress. London: Chapman & Hall, 60-72. ISBN 0-412-64380-4.