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PubMed · 10119429

Implementing TQM.

G Bull·M A Maffetone·S K Miller
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Abstract

Total quality management (TQM) is an organized, systematic approach to problem solving and continuous improvement. American corporations have found that TQM is an excellent way to improve competitiveness, lower operating costs, and improve productivity. Increasing numbers of laboratories are investigating the benefits of TQM. For this month's column, we asked our respondents: What steps has your laboratory taken to implement TQM?

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Attitude of Health PersonnelChicagoDecision Making, OrganizationalLaboratories, HospitalOrganizational ObjectivesPennsylvaniaPlanning TechniquesProblem SolvingQuality Assurance, Health CareUtahJournal Article

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G Bull, M A Maffetone, S K Miller. Implementing TQM.. https://pubmed.ncbi.nlm.nih.gov/10119429/

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PubMed2001

Why general practitioners do not implement evidence: qualitative study.

OBJECTIVES: To explore the reasons why general practitioners do not always implement best evidence. DESIGN: Qualitative study using Balint-style groups. SETTING: Primary care. PARTICIPANTS: 19 general practitioners. MAIN OUTCOME MEASURES: Identifiable themes that indicate barriers to implementation. RESULTS: Six main themes were identified that affected the implementation process: the personal and professional experiences of the general practitioners; the patient-doctor relationship; a perceived tension between primary and secondary care; general practitioners' feelings about their patients and the evidence; and logistical problems. Doctors are aware that their choice of words with patients can affect patients' decisions and whether evidence is implemented. CONCLUSIONS: General practitioner participants seem to act as a conduit within the consultation and regard clinical evidence as a square peg to fit in the round hole of the patient's life. The process of implementation is complex, fluid, and adaptive.

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