The importance of quality: sharing responsibility for improving patient care.

摘要: In health care quality is usually understood in the context of “clinical quality” and an implicit distinction drawn between managerial clinical activity. The separate introduction development initiatives within NHS has contrived to accentuate different notions that follow traditional “tribal” divisions hospitals. Nurses often led assurance programmes, while doctors took up medical audit, managers found risk management programmes had something offer their professional concerns. recent directives develop audit go some way addressing these divisions. But onus meeting patient's charter provided yet another focus for improvement hospitals. In other organisations linked concept should be a characteristic whole organisation. process control industrial business world dominated by theory application total (TQM). This approach developed after second war when Japanese industrialists, keen compete with economies, engaged American experts advise on statistical techniques production process. These advisers, who included W Edwards Deming Joseph Juran, documenting technical or specifications components line would not itself produce lasting production. Instead, introducing principles from wide range disciplines, they advocated internal improvement, where everyone organisation part continual drive do better. Together, are described as TQM. successful results this manufacturing well known. Much since been written TQM …