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. 2019 Sep 23:12:167-177.
doi: 10.2147/RMHP.S197038. eCollection 2019.

Total quality management in the health-care context: integrating the literature and directing future research

Affiliations

Total quality management in the health-care context: integrating the literature and directing future research

Majdi M Alzoubi et al. Risk Manag Healthc Policy. .

Abstract

Background: Synergistic integration of predictors and elements that determine the success of total quality management (TQM) implementations in hospitals has been the bane of theoretical development in the TQM research area. Thus, this paper aims to offer a systematic literature review to provide a foundation on which research on TQM can be built and to identify the predictors of successful TQM in the health-care context.

Materials and methods: A systematic literature survey was adopted in this paper, involving the review of 25 relevant researched articles found in the databases Science Direct, EBSCO, MEDLINE, CINAHL and PubMed.

Result: The systematic literature survey reveals five variables to be core predictors of TQM, signifying how important these variables are in the successful implementation of TQM in the health-care context. Also, it is revealed that the identified core predictors have positive effects on an improved health-care system. However, the systematic survey of the literature reveals a dearth of studies on TQM in the health-care context.

Conclusion: As TQM has become an important management approach for advancing effectiveness in the health-care sector, this kind of research is of value to researchers and managers. Stakeholders in the health sectors should introduce and implement TQM in hospitals and clinics. Nevertheless, this study has limitations, including that the databases and search engines adopted for the literature search are not exhaustive.

Keywords: commitment; critical success factors; health care; systematic literature review; total quality management; total quality management implementation.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Consort flow chart of systematic review method. Abbreviation: TQM, total quality management.

References

    1. Bonechi L, Carmignani G, Mirandola R. La Gestione Della Qualità Nelle Organizzazioni-dalla Conformità All’eccellenza Gestionale. Edizioni Plus srl; 2004.
    1. Vituri DW, Évora YDM. Total Quality Management and hospital nursing: an integrative literature review. Rev Bras Enferm. 2015;68(5):945–952. doi:10.1590/0034-7167.2015680525i - DOI
    1. Antunes M, Sfakiotakis E. Effect of high temperature stress on ethylene biosynthesis, respiration and ripening of ‘Hayward’kiwifruit. Postharvest Biol Technol. 2000;20(3):251–259. doi:10.1016/S0925-5214(00)00136-8 - DOI
    1. Adami C, Ofria C, Collier TC. Evolution of biological complexity. Proc Natl Acad Sci. 2000;97(9):4463–4468. doi:10.1073/pnas.97.9.4463 - DOI - PMC - PubMed
    1. Padilha KG. Iatrogenic occurrences and the quality focus. Rev Lat Am Enfermagem. 2001;9(5):91–96. doi:10.1590/s0104-11692001000500014 - DOI - PubMed