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Related Experiment Videos

Implementing total quality management in an academic surgery setting: lessons learned

C Townes1, B Petit, B Young

  • 1Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084, USA.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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Total Quality Management (TQM) implementation in healthcare, though nascent, can improve processes. Successful application requires strong leadership, facilitation, and staff buy-in, even amidst resistance.

Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Process Improvement

Background:

  • Total Quality Management (TQM) is a philosophy for enhancing process quality, widely adopted globally.
  • Its application in healthcare is emerging, despite recommendations from medical economists.
  • This study focuses on TQM implementation in an academic surgery department.

Purpose of the Study:

  • To describe TQM implementation in a US academic surgery department.
  • To illustrate lessons learned from both successful and unsuccessful TQM endeavors.
  • To enable readers to assess the applicability of these lessons to their own organizations.

Main Methods:

  • Cross-departmental collaboration (Surgery, Anesthesiology, Operating Room Services).
  • Establishment of a Steering Committee and employee training.

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  • Development of communication systems and leadership/facilitator resources.
  • Formation of teams to study and improve specific processes.

    • Main Results:

    • Implementation involved critical activities like training and resource development.
    • Two diverse teams studied processes in the OR and outpatient surgery clinics.
    • Strategies were developed to increase staff and physician acceptance and participation.
    • Despite resistance, most teams successfully improved studied processes.

    Conclusions:

    • Total Quality Management can be successfully implemented in healthcare settings.
    • Proper leadership and facilitation are crucial for TQM success.
    • Initiating cultural change and managing resistance are key challenges.