Total quality management: rhetoric and reality.
TQM in health care today is still more rhetoric than reality. Changing the typical health care organization's culture and installing the infrastructure needed to support TQM will be expensive and time consuming, and will require a new technology of health care quality control that is still developing. TQM will achieve its considerable potential only if management stays the course, invests the time and money--and reins in Ruby and her ilk.
Nathanson
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Aetna Health Plans, Hartford, CT.
D016507:Cardiology Service, Hospital / Q000458:organization & administration / Q000592:standards*; D001026:Coronary Artery Bypass / Q000592:standards; D006745:Hospital Bed Capacity, 300 to 499; D017146:Models, Organizational; D015279:Organizational Culture; D010934:Planning Techniques; D011357:Product Line Management; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States