Total Quality Management and Physicians' Clinical Decisions

摘要: INCREASING concerns about the quality of health care have led to experimentation with and deployment many new technologies designed monitor, compare, improve clinical performance providers. 1 Among newest most controversial these approaches is industrial management science (IQMS), also known as continuous improvement (CQI), process (QIP), total (TQM). 2-4 Evidence rapid spread IQMS an approach managing in institutions plentiful. The Joint Commission on Accreditation Healthcare Organizations has adopted important standard its reviews institutions. 5 Based a recent national survey, Hospitals magazine estimates that 3100 US hospitals more than 50 beds now programs TQM. 6 An increasing anecdotal literature describes success analyzing, ameliorating, or solving particular problems.