Total quality management: administrative and clinical applications in nursing homes.
OBJECTIVE
Describe the application of the Total Quality Management (TQM) model to the unique work force, resident population, and regulatory issues that characterize long term care settings.


METHODS
The key differences between TQM and current management and training practices in nursing homes are described. A specific data-based example is provided of a successful TQM application to health care involving clinical work processes related to incontinence care.


CONCLUSIONS
Significant organizational and clinical obstacles must be overcome if TQM is to improve the quality of life and satisfaction of nursing home residents and their families as it has improved the efficiency and product quality in hospital and non-health-care settings.
Schnelle
J F
JF
Borum Center for Gerontological Research, UCLA School of Medicine 90024-1687.
Ouslander
J G
JG
Osterweil
D
D
Blumenthal
S
S
D002983:Clinical Competence; D017598:Efficiency, Organizational; D005190:Family / Q000523:psychology; D006801:Humans; D007297:Inpatients / Q000523:psychology; D017146:Models, Organizational; D009042:Motivation; D009728:Nursing Assistants / Q000193:education / Q000523:psychology / Q000592:standards; D009735:Nursing Homes / Q000458:organization & administration / Q000592:standards*; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011788:Quality of Life; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States; D014549:Urinary Incontinence / Q000453:epidemiology / Q000451:nursing / Q000517:prevention & control; D000078329:Workforce