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From QA to TQM.

R D Tyler1

  • 1Department of Veterans Affairs Outpatient Clinic, Santa Barbara, CA.

Physician Executive
|April 9, 1991
PubMed
Summary
This summary is machine-generated.

Medical audit in healthcare and total quality management in manufacturing developed separately until the mid-1980s. Both quality processes significantly impacted the healthcare industry independently.

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Area of Science:

  • Healthcare Management
  • Industrial Engineering
  • Quality Improvement

Background:

  • Two distinct quality improvement methodologies emerged between 1950-1960: medical audit within healthcare and total quality management (TQM) in manufacturing.
  • These quality management strategies initially developed in isolation, unaware of each other's existence or potential synergies.

Purpose of the Study:

  • To analyze the historical development and separate trajectories of medical audit and total quality management.
  • To understand the independent influence of these two quality processes on the healthcare industry.

Main Methods:

  • Historical analysis of quality management evolution in healthcare and manufacturing sectors.
  • Review of literature and industry practices from 1950 to the mid-1980s.

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Main Results:

  • Medical audit and total quality management evolved independently from 1950 to the mid-1980s.
  • Both methodologies exerted a substantial, albeit separate, influence on healthcare quality improvement.

Conclusions:

  • The parallel development of medical audit and TQM highlights distinct approaches to quality in different sectors.
  • Understanding their separate historical impacts is crucial for appreciating their eventual, combined influence on modern healthcare quality standards.