case study of tqm

Sign up for the newsletter

Digital editions.

Total quality management: three case studies from around the world

With organisations to run and big orders to fill, it’s easy to see how some ceos inadvertently sacrifice quality for quantity. by integrating a system of total quality management it’s possible to have both.

Top 5 ways to manage the board during turbulent times Top 5 ways to create a family-friendly work culture Top 5 tips for a successful joint venture Top 5 ways managers can support ethnic minority workers Top 5 ways to encourage gender diversity in the workplace  Top 5 ways CEOs can create an ethical company culture Top 5 tips for going into business with your spouse Top 5 ways to promote a healthy workforce Top 5 ways to survive a recession Top 5 tips for avoiding the ‘conference vortex’ Top 5 ways to maximise new parents’ work-life balance with technology Top 5 ways to build psychological safety in the workplace Top 5 ways to prepare your workforce for the AI revolution Top 5 ways to tackle innovation stress in the workplace Top 5 tips for recruiting Millennials

There are few boardrooms in the world whose inhabitants don’t salivate at the thought of engaging in a little aggressive expansion. After all, there’s little room in a contemporary, fast-paced business environment for any firm whose leaders don’t subscribe to ambitions of bigger factories, healthier accounts and stronger turnarounds. Yet too often such tales of excess go hand-in-hand with complaints of a severe drop in quality.

Food and entertainment markets are riddled with cautionary tales, but service sectors such as health and education aren’t immune to the disappointing by-products of unsustainable growth either. As always, the first steps in avoiding a catastrophic forsaking of quality begins with good management.

There are plenty of methods and models geared at managing the quality of a particular company’s goods or services. Yet very few of those models take into consideration the widely held belief that any company is only as strong as its weakest link. With that in mind, management consultant William Deming developed an entirely new set of methods with which to address quality.

Deming, whose managerial work revolutionised the titanic Japanese manufacturing industry, perceived quality management to be more of a philosophy than anything else. Top-to-bottom improvement, he reckoned, required uninterrupted participation of all key employees and stakeholders. Thus, the total quality management (TQM) approach was born.

All in Similar to the Six Sigma improvement process, TQM ensures long-term success by enforcing all-encompassing internal guidelines and process standards to reduce errors. By way of serious, in-depth auditing – as well as some well-orchestrated soul-searching – TQM ensures firms meet stakeholder needs and expectations efficiently and effectively, without forsaking ethical values.

By opting to reframe the way employees think about the company’s goals and processes, TQM allows CEOs to make sure certain things are done right from day one. According to Teresa Whitacre, of international consulting firm ASQ , proper quality management also boosts a company’s profitability.

“Total quality management allows the company to look at their management system as a whole entity — not just an output of the quality department,” she says. “Total quality means the organisation looks at all inputs, human resources, engineering, production, service, distribution, sales, finance, all functions, and their impact on the quality of all products or services of the organisation. TQM can improve a company’s processes and bottom line.”

Embracing the entire process sees companies strive to improve in several core areas, including: customer focus, total employee involvement, process-centred thinking, systematic approaches, good communication and leadership and integrated systems. Yet Whitacre is quick to point out that companies stand to gain very little from TQM unless they’re willing to go all-in.

“Companies need to consider the inputs of each department and determine which inputs relate to its governance system. Then, the company needs to look at the same inputs and determine if those inputs are yielding the desired results,” she says. “For example, ISO 9001 requires management reviews occur at least annually. Aside from minimum standard requirements, the company is free to review what they feel is best for them. While implementing TQM, they can add to their management review the most critical metrics for their business, such as customer complaints, returns, cost of products, and more.”

The customer knows best: AtlantiCare TQM isn’t an easy management strategy to introduce into a business; in fact, many attempts tend to fall flat. More often than not, it’s because firms maintain natural barriers to full involvement. Middle managers, for example, tend to complain their authority is being challenged when boots on the ground are encouraged to speak up in the early stages of TQM. Yet in a culture of constant quality enhancement, the views of any given workforce are invaluable.

AtlantiCare in numbers

5,000 Employees

$280m Profits before quality improvement strategy was implemented

$650m Profits after quality improvement strategy

One firm that’s proven the merit of TQM is New Jersey-based healthcare provider AtlantiCare . Managing 5,000 employees at 25 locations, AtlantiCare is a serious business that’s boasted a respectable turnaround for nearly two decades. Yet in order to increase that margin further still, managers wanted to implement improvements across the board. Because patient satisfaction is the single-most important aspect of the healthcare industry, engaging in a renewed campaign of TQM proved a natural fit. The firm chose to adopt a ‘plan-do-check-act’ cycle, revealing gaps in staff communication – which subsequently meant longer patient waiting times and more complaints. To tackle this, managers explored a sideways method of internal communications. Instead of information trickling down from top-to-bottom, all of the company’s employees were given freedom to provide vital feedback at each and every level.

AtlantiCare decided to ensure all new employees understood this quality culture from the onset. At orientation, staff now receive a crash course in the company’s performance excellence framework – a management system that organises the firm’s processes into five key areas: quality, customer service, people and workplace, growth and financial performance. As employees rise through the ranks, this emphasis on improvement follows, so managers can operate within the company’s tight-loose-tight process management style.

After creating benchmark goals for employees to achieve at all levels – including better engagement at the point of delivery, increasing clinical communication and identifying and prioritising service opportunities – AtlantiCare was able to thrive. The number of repeat customers at the firm tripled, and its market share hit a six-year high. Profits unsurprisingly followed. The firm’s revenues shot up from $280m to $650m after implementing the quality improvement strategies, and the number of patients being serviced dwarfed state numbers.

Hitting the right notes: Santa Cruz Guitar Co For companies further removed from the long-term satisfaction of customers, it’s easier to let quality control slide. Yet there are plenty of ways in which growing manufacturers can pursue both quality and sales volumes simultaneously. Artisan instrument makers the Santa Cruz Guitar Co (SCGC) prove a salient example. Although the California-based company is still a small-scale manufacturing operation, SCGC has grown in recent years from a basement operation to a serious business.

SCGC in numbers

14 Craftsmen employed by SCGC

800 Custom guitars produced each year

Owner Dan Roberts now employs 14 expert craftsmen, who create over 800 custom guitars each year. In order to ensure the continued quality of his instruments, Roberts has created an environment that improves with each sale. To keep things efficient (as TQM must), the shop floor is divided into six workstations in which guitars are partially assembled and then moved to the next station. Each bench is manned by a senior craftsman, and no guitar leaves that builder’s station until he is 100 percent happy with its quality. This product quality is akin to a traditional assembly line; however, unlike a traditional, top-to-bottom factory, Roberts is intimately involved in all phases of instrument construction.

Utilising this doting method of quality management, it’s difficult to see how customers wouldn’t be satisfied with the artists’ work. Yet even if there were issues, Roberts and other senior management also spend much of their days personally answering web queries about the instruments. According to the managers, customers tend to be pleasantly surprised to find the company’s senior leaders are the ones answering their technical questions and concerns. While Roberts has no intentions of taking his manufacturing company to industrial heights, the quality of his instruments and high levels of customer satisfaction speak for themselves; the company currently boasts one lengthy backlog of orders.

A quality education: Ramaiah Institute of Management Studies Although it may appear easier to find success with TQM at a boutique-sized endeavour, the philosophy’s principles hold true in virtually every sector. Educational institutions, for example, have utilised quality management in much the same way – albeit to tackle decidedly different problems.

The global financial crisis hit higher education harder than many might have expected, and nowhere have the odds stacked higher than in India. The nation plays home to one of the world’s fastest-growing markets for business education. Yet over recent years, the relevance of business education in India has come into question. A report by one recruiter recently asserted just one in four Indian MBAs were adequately prepared for the business world.

RIMS in numbers

9% Increase in test scores post total quality management strategy

22% Increase in number of recruiters hiring from the school

20,000 Increase in the salary offered to graduates

50,000 Rise in placement revenue

At the Ramaiah Institute of Management Studies (RIMS) in Bangalore, recruiters and accreditation bodies specifically called into question the quality of students’ educations. Although the relatively small school has always struggled to compete with India’s renowned Xavier Labour Research Institute, the faculty finally began to notice clear hindrances in the success of graduates. The RIMS board decided it was time for a serious reassessment of quality management.

The school nominated Chief Academic Advisor Dr Krishnamurthy to head a volunteer team that would audit, analyse and implement process changes that would improve quality throughout (all in a particularly academic fashion). The team was tasked with looking at three key dimensions: assurance of learning, research and productivity, and quality of placements. Each member underwent extensive training to learn about action plans, quality auditing skills and continuous improvement tools – such as the ‘plan-do-study-act’ cycle.

Once faculty members were trained, the team’s first task was to identify the school’s key stakeholders, processes and their importance at the institute. Unsurprisingly, the most vital processes were identified as student intake, research, knowledge dissemination, outcomes evaluation and recruiter acceptance. From there, Krishnamurthy’s team used a fishbone diagram to help identify potential root causes of the issues plaguing these vital processes. To illustrate just how bad things were at the school, the team selected control groups and administered domain-based knowledge tests.

The deficits were disappointing. A RIMS students’ knowledge base was rated at just 36 percent, while students at Harvard rated 95 percent. Likewise, students’ critical thinking abilities rated nine percent, versus 93 percent at MIT. Worse yet, the mean salaries of graduating students averaged $36,000, versus $150,000 for students from Kellogg. Krishnamurthy’s team had their work cut out.

To tackle these issues, Krishnamurthy created an employability team, developed strategic architecture and designed pilot studies to improve the school’s curriculum and make it more competitive. In order to do so, he needed absolutely every employee and student on board – and there was some resistance at the onset. Yet the educator asserted it didn’t actually take long to convince the school’s stakeholders the changes were extremely beneficial.

“Once students started seeing the results, buy-in became complete and unconditional,” he says. Acceptance was also achieved by maintaining clearer levels of communication with stakeholders. The school actually started to provide shareholders with detailed plans and projections. Then, it proceeded with a variety of new methods, such as incorporating case studies into the curriculum, which increased general test scores by almost 10 percent. Administrators also introduced a mandate saying students must be certified in English by the British Council – increasing scores from 42 percent to 51 percent.

By improving those test scores, the perceived quality of RIMS skyrocketed. The number of top 100 businesses recruiting from the school shot up by 22 percent, while the average salary offers graduates were receiving increased by $20,000. Placement revenue rose by an impressive $50,000, and RIMS has since skyrocketed up domestic and international education tables.

No matter the business, total quality management can and will work. Yet this philosophical take on quality control will only impact firms that are in it for the long haul. Every employee must be in tune with the company’s ideologies and desires to improve, and customer satisfaction must reign supreme.

Contributors

• Industry Outlook

Implementation of Total Quality Management (TQM): Toyota Case Study

• To find inspiration for your paper and overcome writer’s block
• As a source of information (ensure proper referencing)
• As a template for you assignment

Introduction

Implementation of tqm in toyota, tqm practices in toyota, benefits of tqm in toyota, examples of tqm in toyota, toyota quality management, toyota tqm implementation challenges.

The Toyota Corporation case study report is based on the implementation of total quality management (TQM) meant to improve the overall performance and operations of this automobile company. TQM involves the application of quality management standards to all elements of the business.

It requires that quality management standards be applied in all branches and at all levels of the organization. The characteristic of Toyota Corporation going through the total quality process is unambiguous and clear.

Toyota has limited interdepartmental barriers, excellent customer and supplier relations, spares time to be spent on training, and the recognition that quality is realized through offering excellent products as well as the quality of the entire firm, including personnel, finance, sales, and other functions.

The top management at Toyota Corporation has the responsibility for quality rather than the employees, and it is their role to provide commitment, support, and leadership to the human and technical processes (Kanji & Asher, 1996).

Whereas the TQM initiative is to succeed, the management has to foster the participation of Toyota Corporation workers in quality improvement and create a quality culture by altering attitudes and perceptions towards quality.

This research report assesses the implementation of TQM and how Toyota manages quality in all organization management systems while focusing on manufacturing quality. The report evaluates the organization management elements required when implementing TQM, identifies, and investigates the challenges facing Quality Managers or Executives in implementing Quality Management Systems.

In order to implement TQM, Toyota corporations focused on the following phases:

• The company extended the management responsibility past the instantaneous services and products
• Toyota examined how consumers applied the products generated, and this enabled the company to develop and improve its commodities
• Toyota focused on the insubstantial impacts on the procedures as well as how such effects could be minimized through optimization
• Toyota focused on the kaizen (incessant process development) in order to ensure that all procedures are measurable, repeatable, and visible.

The commitment from business executives is one of the key TQM implementation principles that make an organization successful. In fact, the organizational commitment present in the senior organizational staff ranges from top to lower administration. These occur through self-driven motives, motivation, and employee empowerment. Total Quality Management becomes achievable at Toyota by setting up the mission and vision statements, objectives, and organizational goals.

In addition, the TQM is achievable via the course of active participation in organizational follow-up actions. These actions denote the entire activities needed and involved during the implementation of the set-out ideologies of the organization. From Toyota Corporation’s report, TQM has been successful through the commitment of executive management and the organizational workforce (Toyota Motor Corporation, 2012).

Through inventory and half the bottlenecks at half cost and time, the adopters of TMS (Toyota Management System) are authorized to manufacture twice above the normal production. To manage the quality in all organizational management systems, the Toyota Production System incorporates different modernisms like strategy or Hoshin Kanri use, overall value supervision, and just-in-time assembly.

The amalgamation of these innovations enables Toyota to have a strong competitive advantage despite the fact that Toyota never originated from all of them. The 1914 Henry Ford invention relied on the just-in-time production model. The Ford system of production, from a grand perspective, warrants massive production, thus quality (Toyota Motor Corporation, 2012).

Kanji and Asher (1996) claim that to manage the minute set of production necessitated by the splintered and small post-war marketplaces, the JIT system focuses on the motion and elimination of waste materials. This reduces crave for work-in-process inventory by wrapping up the long production lines. Toyota Corp wraps the production lines into slashed change-over times, a multi-trained workforce that runs manifold machines, and new-fangled cells into a U shape.

When supplementing the just-in-cells, the system of kanban is employed by the Toyota Corporation to connect the cells that are unable to integrate physically. Equally, the system helps Toyota integrate with other external companies, consumers, and suppliers.

The TQM and the creativity of Toyota proprietors both support the quality at the source. The rectification and discovery of the production problems require the executives to be committed. At the forefront of Toyota operations, the managers integrate a number of forms of operational quality checks to ensure quality management at all levels.

The uninterrupted tests help the Toyota workforce engaging in the assembly course to scrutinize the value of apparatus, implements, and resources utilized in fabrication. The checks help in the scrutiny of the previously performed tasks by other workers. However, the corporation’s own test enables the workers to revise their personal advances in the assembly course.

The Toyota process owners set up the mistake-proofing (Poka-yoke) procedures and devices to capture the awareness of management and involuntarily correct and surface the augmenting problems. This is essential for the critical production circumstances and steps that prove impractical and tricky for Toyota employees to inspect.

Nevertheless, the policy deployment system decentralizes the process of decision-making at Toyota. This context of implementing Total Quality Management originates from Hoshin Kanri’s management by objective (MBO).

This aspect becomes more advantageous to Toyota when dealing with quality management. The system initially puts into practice the coordinated approach and provides a clear structure for the suppliers, producers, and consumers through inter-organizational cost administration. Moreover, Toyota executives can solve the concurrent delivery, cost, and quality bottlenecks, thus replacing and increasing the relatively slow accounting management mechanisms.

Customer focus that leads to the desired customer satisfaction at Toyota Company is one of the major success factors in TQM implementation. For every business to grow, it should have understanding, reliable, and trustworthy customers. The principle of customer satisfaction and focus has been the most presently well-thought-out aspect of Toyota’s manufacturing quality.

The TQM may characteristically involve total business focus towards meeting and exceeding customers’ expectations and requirements by considering their personal interests. The mission of improving and achieving customer satisfaction ought to stream from customer focus.

Thus, when focusing on manufacturing quality, this aspect enhances TQM implementation. The first priorities at Toyota are community satisfaction, employees, owners, consumers, and mission. The diverse consumer-related features from liberty. The concern to care is eminent in Toyota Corporation during manufacturing.

Toyota has three basic perspectives of TQM that are customer-oriented. These are based on its manufacturing process traced back to the 1950s. The strategies towards achieving quality manufacturing, planning, and having a culture towards quality accomplishment are paramount for TQM implementation to remain successful. To enhance and maintain quality through strategic planning schemes, all managers and employers must remain effectively driven.

This involves training workers on principles concerning quality culture and achievement. Scheduling and planning are analytical applications at Toyota Company that purposes in assessing customer demand, material availability, and plant capacity during manufacturing.

The Toyota Corporation has considerable approaches that rank it among the successful and renowned implementers of TQM. From the inherent and designed structure of Toyota, it becomes feasible to comprehend why quality manufacturing is gradually becoming effective. The inspection department is responsible for taking corrective measures, salvaging, and sorting the desired manufactured product or service quality.

The Toyota Corporation also has a quality control system that is involved in determining quality policies, reviewing statistics, and establishing quality manuals or presentation data. Furthermore, quality assurance is one of the integral principles in quality implementation that is practically present at Toyota. The quality assurance and quality inspectors throughout the Toyota Company structure also manage research and development concerning the quality of manufactured products and services.

The Toyota production and operations management system is similarly dubbed as the managerial system. In fact, in this corporation, operational management is also referred to as the production process, production management, or operations (Chary, 2009). These simply incorporate the actual production and delivery of products.

The managerial system involves product design and the associated product process, planning and implementing production, as well as acquiring and organizing resources. With this broad scope, the production and operation managers have a fundamental role to play in the company’s ability to reach the TQM implementation goals and objectives.

The Toyota Corporation operations managers are required to be conversant and familiar with the TQM implementation concepts and issues that surround this functional area. Toyota’s operation management system is focused on fulfilling the requirements of the customers.

The corporation realizes this by offering loyal and express commodities at logical fees and assisting dealers in progressing commodities proffered. As Slack et al. (2009) observed, the basic performance objectives, which pertain to all the Toyota’s operations, include quality, speed, flexibility, dependability, and cost. Toyota Company has been successful in meeting these objectives through its production and operation functions.

Over several decades, Toyota’s operational processes and management systems were streamlined, resulting in the popularly known Toyota Production System. Although the system had been extensively researched, many companies, such as Nissan, experienced difficulties in replicating TPS.

The TPS was conceived when the company realized that producing massive quantities from limited product lines and ensuring large components to achieve maximum economies of scale led to flaws. Its major objectives were to reduce cost, eliminate waste, and respond to the changing needs of the customers. The initial feature of this system was set-up time reduction, and this forms the basis of TQM implementation.

At Toyota Corporation, quality is considered as acting responsibly through the provision of blunder-gratis products that please the target clientele. Toyota vehicles are among the leading brands in customer satisfaction. Due to good quality, its success has kept growing, and in 2012, the company was the best worldwide. Moreover, Toyota has been keen on producing quality vehicles via the utilization of various technologies that improve the performance of the vehicles.

While implementing TQM, Toyota perceives speed as a key element. In this case, speed objective means doing things fast in order to reduce the time spent between ordering and availing the product to the customer.

The TPS method during processing concentrates on reducing intricacy via the use of minute and uncomplicated machinery that is elastic and full-bodied. The company’s human resources and managers are fond of reorganizing streams and designs to promote minimalism. This enhances the speed of production.

Another objective during TQM implementation is dependability. This means timely working to ensure that customers get their products within the promised time. Toyota has included a just-in-time production system comprised of multi-skilled employees who work in teams. The kanban control allows the workers to deliver goods and services as promised. Advancing value and effectiveness appears to be the distress for administrators, mechanical specialists, and other Toyota human resources.

During TQM implementation, Toyota responds to the demands by changing its products and the way of doing business. Chary (2009) argues that while implementing TQM, organizations must learn to like change and develop responsive and flexible organizations to deal with the changing business environment.

Within Toyota plants, this incorporates the ability to adopt the manufacturing resources to develop new models. The company is able to attain an elevated degree of suppleness, manufacturing fairly tiny bunches of products devoid of losses in excellence or output.

The organizational hierarchy and job descriptions also determine the successful implementation of the TQM. Toyota is amongst the few companies whose organizational structure and task allocation have proved viable in TQM implementation. The company has three levels of management. See the diagram below.

Management hierarchy

Despite the hierarchy and task specification, employees are able to make independent decisions and take corrective measures when necessary to ensure quality during production. Team working is highly encouraged at Toyota Corporation, and this plays a significant role during TQM implementation. All stakeholders are incorporated in quality control initiatives to ensure client demands are satisfied.

However, all employees are required to carry out their assigned tasks, and the management closely supervises the ways of interactions between workers. The management ensures that the manufacturing lines are well-built and all employees are motivated to learn how to improve the production processes.

Toyota is among the few manufacturers in the complete automobile industry that consistently profited during the oil crisis in 1974. The discovery was the unique team working of the Japanese that utilized scientific management rules (Huczynski & Buchanan, 2007).

The joint effort in Japan, usually dubbed Toyotaism, is a kind of job association emphasizing ‘lean-assembly.’ The technique merges just-in-time production, dilemma-answering groups, job equivalence, authoritative foremost-streak administration, and continued procedure perfection.

Just-in-time (JIT) assembly scheme attempts to accomplish all clients’ needs instantly, devoid of misuse but with ideal excellence. JIT appears to be dissimilar from the conventional functional performances in that it emphasizes speedy production and ravage purging that adds to stumpy supply.

Control and planning of many JIT approaches are concerned directly with pull scheduling, leveled scheduling, kanban control, synchronization of flow, and mixed-model scheduling (Slack et al., 2009).

Toyota appears to be amongst the principal participants in changing Japan to a kingpin in car production. Companies, which have adopted the company’s production system, have increased efficiency and productivity. The 2009 industrial survey of manufacturers indicates that many world-class firms have adopted continuous-flow or just-in-time production and many techniques Toyota has been developing many years ago.

In addition, the manufacturing examination of top plant victors illustrates that the mainstream them utilize lean production techniques widely. Thus, team-working TPS assists Toyota Corporation in the implementation of TQM.

Executives and Quality Managers face some challenges while implementing Quality Management Systems in organizations. In fact, with a lack of the implementation resources such as monetary and human resources in any organization, the implementation of TQM cannot be successful. Towards the implementation of programs and projects in organizations, financial and human resources have become the pillar stones.

The approach of TQM impels marketplace competence from all kinds of organizational proceeds to ensure profitability and productivity. To meet the desired results in TQM implementation, an organization ought to consider the availability of human and financial resources that are very important for the provision of an appropriate milieu for accomplishing organizational objectives.

In the case of Toyota, which originated and perfected the philosophy of TQM, the Executives, and Quality Managers met some intertwined problems during TQM implementation. The flaw in the new product development is increasingly becoming complicated for the managers to break and accelerate, thus creating reliability problems. Besides, secretive culture and dysfunctional organizational structure cause barriers in communication between the top management, thus, in turn, augmenting public outrage.

The top executives may fail to provide and scale up adequate training to the suppliers and new workforces. As a result, cracks are created in the rigorous TPS system. In addition, a lack of leadership at the top management might cause challenges in the implementation of TQM. Therefore, in designing the organizational structures and systems that impact quality, the senior executives and managers must be responsible, as elaborated in Figure 2 below.

Total Quality Management is a concept applied in the automobile industry, including the Toyota Corporation. It focuses on continuous improvement across all branches and levels of an organization. Being part of Toyota, the concept defines the way in which the organization can create value for its customers and other stakeholders. Through TQM, Toyota Corporation has been able to create value, which eventually leads to operation efficiencies.

These efficiencies have particularly been achieved by continuous correction of deficiencies identified in the process. A particular interest is the central role that information flow and management have played in enabling TQM initiatives to be implemented, especially through continuous learning and team working culture.

The Toyota way (kaizen), which aims at integrating the workforce suggestions while eliminating overproduction and manufacturing wastes, helps the company to respect all the stakeholders and give clients first priority. The objectives are realized through TPS.

Chary, D. 2009, Production and operations management , Tata McGraw-Hill Education Press, Mumbai.

Huczynski, A. & Buchanan, D. 2007, Organizational behavior; an introductory text, Prentice Hall, New York, NY.

Kanji, G. K. & Asher, M. 1996, 100 methods for total quality management , SAGE Thousands Oak, CA.

Slack, N. et al. 2009, Operations and process management: principles and practice for strategic management, Prentice Hall, New York, NY.

Toyota Motor Corporation 2012, Annual report 2012. Web.

• Google Corporation Investments Evaluation
• How HR Approaches Match Up With the Strategic Initiatives
• Motorola Company's Just-in-Time Implementation
• Toyota Motor Corporation's Sustainability
• Lean Manufacturing: Processes
• Barriers and Facilitators of Workplace Learning
• The Science of Behavior in Business
• Standards, models, and quality: Management
• Managerial and Professional Development: Crowe Horwath CPA limited
• Managerial and Professional Development: Deloitte & Touché Company
• Chicago (A-D)
• Chicago (N-B)

IvyPanda. (2019, June 12). Implementation of Total Quality Management (TQM): Toyota Case Study. https://ivypanda.com/essays/total-quality-management-tqm-implementation-toyota/

"Implementation of Total Quality Management (TQM): Toyota Case Study." IvyPanda , 12 June 2019, ivypanda.com/essays/total-quality-management-tqm-implementation-toyota/.

IvyPanda . (2019) 'Implementation of Total Quality Management (TQM): Toyota Case Study'. 12 June.

IvyPanda . 2019. "Implementation of Total Quality Management (TQM): Toyota Case Study." June 12, 2019. https://ivypanda.com/essays/total-quality-management-tqm-implementation-toyota/.

1. IvyPanda . "Implementation of Total Quality Management (TQM): Toyota Case Study." June 12, 2019. https://ivypanda.com/essays/total-quality-management-tqm-implementation-toyota/.

Bibliography

IvyPanda . "Implementation of Total Quality Management (TQM): Toyota Case Study." June 12, 2019. https://ivypanda.com/essays/total-quality-management-tqm-implementation-toyota/.

How Total Quality Management Got Xerox Back on Track

Updated: March 5, 2023 by Lori Kinney

Xerox went from being an industry leader to resting on its laurels. Their focus shifted away from improvement for the benefit of their customers. This, coupled with a financial scandal, brought the organization to the point where many financial experts believed that bankruptcy was on the horizon. A major shift in how Xerox did business righted the ship and then some.

How Total Quality Management Brought Xerox Back Into Profitability

An embrace of both Total Quality Management and Lean Six Sigma is what helped bring Xerox back. Total Quality Management (TQM) is a management system that is fully aligned with the methodologies of both Lean and Six Sigma. It typically adopts eight guiding principles. They are as follows:

• Putting the customer first: In Total Quality Management, there is a primary focus on the customer experience. Through all aspects of interaction with the organization, the customer is the priority.

• Employee ownership and involvement: All employees are working towards a common goal. Workers feel empowered, involved, heard, and integral to processes.

• Process-based success: TQM focuses on creating and implementing processes that find success, are repeatable, and are sustainable.

• Integration: TQM strategies deal with making sure that all assets that are available are integrated and working towards the goals.

• Communication: During all points of change in the organization, as well as during the day-to-day operations, communication plays a massive role in keeping up the morale and motivation of the team.

• Data and facts, not assumptions: Data is for the company’s improvement, and decisions are made based on facts, not assumptions or feelings.

• Strategic planning: TQM focuses on using a strategic and systematic approach towards achieving goals.

• Continuous improvement : A culture of continuous improvement drives the organization towards continually finding better and more effective ways of improving the company and how it meets the needs of its customers.

Think about these main tenets of Total Quality Management when reading the case study of Xerox below and how the organization was able to turn itself around.

Xerox Had An Issue

In 2002, Xerox was fined 10 million dollars by the Securities and Exchange Commission, under accusations that the corporation had been inflating its operating performance for a four-year period. The following year, six former Xerox executives were fined a total of 22 million dollars after being charged with securities fraud and aiding and abetting the corporation’s violations of federal securities law. The SEC alleged that the purpose of these practices was to deliberately mislead investors in order to raise the organization’s Wall Street reputation as well as inflate the worth of the company’s stock.

The impact of these allegations weighed heavily on the reputation of Xerox. Not only did the company have this scandal to contend with, there was also the fact that it was no longer as dominant in the marketplace as it once was. The improvement of the products that the company was built on had become stagnant, so other companies came along and made products that used the Xerox products as a jumping-off point. These products did what Xerox photocopiers did, but did it more reliably, faster, and less expensively. The company had been resting on its laurels, thinking that it would continue to thrive without doing anything to continue improving.

Along with not innovating for the sake of its customers, there were efforts to change the culture of the company that caused major internal issues. This led to a slew of mismanaged sales, shipping problems, frustrated employees, and the loss of trust from customers.

All of these combined factors led Xerox to fall into a 16-billion-dollar debt, and most financial experts expected the company to declare Chapter 11.

Instead, Xerox brought on two important figures that would be integral to the effort towards bringing the company back from the brink. One was Lawrence Zimmerman, and the other was Anne Mulcahy.

It would be necessary to change how Xerox worked as well as how it was viewed in the public eye after the scandal. Luckily, the change in top-level management created the perfect opportunity to do so.

Lawrence Zimmerman had been a major player during his 31 years at IBM. He became well known for having highly developed skills in the financial restructuring of organizations. Zimmerman joined Xerox in 2002 as CFO and senior vice president, coming out of retirement at the time.

Anne Mulcahy was brought on and made the CEO of Xerox, once the former chief executive officer was ousted. She was the company’s first female CEO, and the news of her placement in the organization caused the price of Xerox stock to drop 15%.

Getting Xerox back on track was not going to be easy.

The goal for both was to gain back Xerox’s strong reputation and get the company back to being profitable after the tarnish that the investigation, fine, and loss of strength in the marketplace had put on the organization.

Just how, though, were they going to do it?

Embracing Lean Six Sigma and the Main Tenets of TQM to Turn Xerox Around

Before Zimmerman and Mulcahy made any moves toward fixing the organization, it was necessary to know exactly what the problems were in the eyes of those that should be most important to a company–the customers.

Mulcahy’s first project as CEO was to hop on a plane and undertake 90 days of solicitation of constructive criticism about the company through direct communication with customers, focus groups, public forums, industry analysts, and more. She flew from meeting to meeting, learning from the customer base what they actually wanted from the company. She also made a point of listening to the employees to get an understanding of where they saw the most issues with the organization. The employees, in general, were happy to be involved in whatever solutions would be decided on as long as there was a clear direction to follow.

Her remarkably thorough efforts to determine exactly what the problems were are a good example of the Define stage of DMAIC in Six Sigma.

One of the first things that were decided upon was the elimination of waste in the company. With a customer-centric approach, if clear interest had not been shown by customers in a line of products, they were cut. Areas of the organization that were wasting resources were eliminated. One example would be nearly the entire range of products that were directed toward home offices. A deep look was put into all processes to ensure structural and operational efficiency.

The team also went after lost markets by focusing research and development on the input that was received during Mulcahy’s interactions with customers. The emphasis on innovation to meet the needs of the customer led to improved copy machines and multifunctional devices. Some of the innovations stemmed from the creative thinking of including the customers themselves in the development process. In order to ensure that the focus on customers was coming from the top down, Mulcahy assigned all senior managers to their own key customers–helping to guarantee that Xerox no longer strayed from the improvement of the customer experience by making the customer a primary part of the company culture.

Zimmerman also used his expertise to help Xerox focus on efficiency and deliver value to customers. During these transitional years, Xerox led over 1,500 Lean Six Sigma projects with the assistance of over 600 Sigma Black Belts.

In order to address the financial culture at Xerox post-investigation, a holistic approach to global-reporting processes was developed, with an insistence on high ethical standards of excellence. An ethics code of conduct was developed for employees and the finance department, in particular.

Like all true change, the positive effects of this return to core values and embrace of putting the customer first did not immediately pay off. Xerox continued to have a couple of hard years before the true benefits of changing the company culture could be seen.

The Outcome Was Phenomenal

After about three years, the benefits of this strategy began to really show for Xerox. Being receptive to feedback from customers and workers on how to improve, as well as funneling this input into implementing Six Sigma projects, made a huge difference. Shifting the culture of the company to focus on their innovations based on input received from their customers instead of assumptions also had a massive impact. In less than five years, Xerox went from losing 200 million dollars a year to grossing over 1 billion dollars. Being transparent with its dealings ethically also helped regain the confidence and trust back of customers and stakeholders.

6 Best Practices When Implementing Lean Six Sigma and Total Quality Management Techniques

1. innovate for your customers.

Xerox learned how important it was to not innovate just based on assumptions but by listening to their customers and innovating to actually solve their problems and meet their needs.

2. Improvement is essential

Even during a crisis, Xerox learned the value of working to make the company better for its customers. Finding ways to improve the customer experience is a big part of what saved Xerox.

3. Eliminate waste

In order to survive, Xerox had to make some tough decisions about eliminating programs that were resource drains and were not adding value for their customers.

4. Listen and respond to feedback

Making it a priority to get feedback from your customers, workers, and colleagues can give much-needed insight into the improvement of products that you already have out on the market as well as point towards moving into new areas that are in high-demand from your clients. This kind of open communication also builds trust between the company, the client, and the staff.

5. Include your workers in the changes within the company

Xerox had tried to make changes in their organization before. What was different within the organization this time was that the staff felt personally invested in and involved in the changes that were going to happen. This time, they felt that everyone in the organization was working towards set goals and that everyone understood what those goals were.

6. Invigorating staff through top management alignment with goals

Through having top management put as much of their own efforts towards the customer experience, employees felt much more inclined to follow suit.

What We Can Learn From the Xerox Example

One key takeaway from the example of Xerox is that an organization should not believe that its past successes are going to carry over into the future indefinitely. An organization needs to keep improving in order to meet the needs and demands of customers. A company also needs to act ethically, or else they will lose the trust and confidence of the public. It is also vital that an organization listen to its customers and employees in order to know where to target its current and future efforts. If you really take the time in your company to find out from your customers and workers where the main issues are in the organization, you stand a much better chance at finding the root causes and eliminating any waste that is draining valuable resources and not contributing toward providing value in the customer experience.

About the Author

TOTAL QUALITY MANAGEMENT APPROACH, A CASE STUDY IN MANUFACTURING INDUSTRY

everything needs to be quality checked

Related Papers

Deepak Dhounchak

In the present time, manufacturing industries suffers from the quality problems in products and services. The manufacturing industry gain loss and wastage of resources due to quality problems that results in poor efficiency of manufacturing plant. The quality of products has to regularly upgraded time to time to achieve desire goal in manufacturing industry. The regular upgradation of quality of products and services in the manufacturing sector is known as Total Quality Management. The whole processes, manpower and management are controlled efficiently and maximum output is obtained from resources in the total quality management. The TQM is the art of controlling everything in efficient and better controlled manner in any organization. This is the mostly and widely used quality tool in the manufacturing industry. The TQM is a tool used to increase the quality of product and quality of processes in the manufacturing industry. The implementation of TQM in any manufacturing plant increases the quality and production of plant.

Marimin Marimin

This research was aimed at designing strategies for improving total quality management at CV XYZ and PT HIJ. The research locations were selected intentionally with the consideration that the company is a middle class company that started to apply a study in line with the research topic. The experts were chosen using an approach method. This research used a descriptive approach and quantitative analysis through questionnaires using purposive sampling. The stages began with data processing, i.e. testing the questionnaire quality through validity and reliability tests, making a causality diagram, evaluating the implementation levels of each company by giving evaluation scales based on the existing condition, making House of Quality (HOQ) using QFD methods, and then analyzing the problem solutions produced from the QFD methods with 5W + IH analysis, and finally determining the improvement priorities using Fuzzy AHP methods. The results were the strategies for improving total quality management /TQM of CV XYZ, namely the factor that plays the most important role was improving the quality management performance. The actor that has the competence to carry out the TQM improvement is the director. The prioritized goal to be achieved is a commitment to improve the quality of goods and services. The prioritized strategy used in improving TQM is carrying out SOP consistently.

Zillur Rahman

This paper attempts to identify the TQM practices in two different sectors and examines the difference between them by analyzing their commonalities with respect to their implementation as applicable to both the sectors. The methodology adopted was critically examining the literature on TQM practices followed by manufacturing and service sectors.

Computers & Industrial Engineering

Ahmad Elshennawy

Sohail Anwer

This study will explain how Total Quality Management can be implemented at the second line aircraft maintenance department of Pakistan Naval Aviation. The TQM Implementation process can be established by considering four important elements: Top management commitment, present indoor quality culture of the second line maintenance activities, ISO certification of the organization, and the built in TQM characteristics of Pakistan Naval Aviation. The instructions and guide lines of Naval Aviation Maintenance Manual UK and Group Officer Quality Assurance at Air Engineering Department along with the intellectual support of Sir Imranullah Shriff will be used for TQM implementation. Aircraft Maintenance Control Office, Group Officer Quality Assurance and Group Officer Air Engineering Training are the help lines to be approached for assistance for TQM implementation. Battery shop is presented as TQM model work shop for other shops of second line maintenance activities for using it as a bench mark. The project recommends the methodologies for the implementation process of TQM. An understanding of the hurdles to the TQM implementation process, for corrective actions improvements, suggestions and recommendations will shape the end of the project.

Asian Journal of Engineering and Applied Technology

Pramila Devi Maganti

Total quality management (TQM) has been widely considered as the strategic, tactical and operational tool in the quality management research field. It is one of the most applied and well accepted approaches for business excellence besides continuous quality improvement, six sigma, just-in-time, and supply chain management approaches. This study investigated impact of TQM practices on quality performance in an armament manufacturing industry in Ethiopia. The quantitative approach and the survey method of collecting data were used. The five point Likert scale structured questionnaire was administered through the face-to-face method of collecting data. 340 questionnaires were randomly distributed to employees who are working in different factories in the two armament manufacturing industry. Eight factors related to TQM practices were initially selected as independent variables viz., leadership, customer focus, continuous improvement, employee involvement, training and education, suppli...

Ismail Md Yusof Implementation of Quality Management in the Manufacturing Industry Phd Thesis Dublin City University

Yusof Ismail

FAISAL TALIB

Sudip Ghimire

Proceedings of The 6th International Conference on Applied Research in Management, Business and Economics

Jonida Teta

Loading Preview

Sorry, preview is currently unavailable. You can download the paper by clicking the button above.

RELATED PAPERS

Nwakanma Cosmas

IRJET Journal

ASIAN JOURNAL OF BUSINESS AND ACCOUNTING (AJBA)

Asian Business Review

Vusumuzi Sibanda

Rajeswari Mandavi

Neha Shroff

Maged Awwad

fateme rahimi

Ewa Wanda Maruszewska

International Journal of Engineering Research & Technology (IJERT)

DATTAJI K . SHINDE

International Business Research

husniyati ali

Mamunur Rashid

Elizabeta Mitreva

TJPRC Publication

soumya pillai

Assoc. Prof. Cross Ogohi Daniel

Total Quality Management

mokhtar abdullah

Akwesi Assensoh-Kodua

Esensi: Jurnal Bisnis dan Manajemen

Achmad Firdaus

International Conference on Manufacuring Engineering, Quality and Production Systems (MEQAPS '11)At: Transilvania University of Braşov, RomaniaVolume: 11-13 April 2011, ISBN 978-960-474-294-3, pp.121 - 126.

Lecturer Dr. Lidia Mandru

Proceedings of International Conference on Business Management

Dr. S.T.W.S. Yapa

Aeron Zentner

Amer Alkassem

•   We're Hiring!
•   Help Center
• Find new research papers in:
• Health Sciences
• Earth Sciences
• Cognitive Science
• Mathematics
• Computer Science
• Academia ©2024

Get full access to Total Quality Management and 60K+ other titles, with a free 10-day trial of O'Reilly.

There are also live events, courses curated by job role, and more.

Total Quality Management

Read it now on the O’Reilly learning platform with a 10-day free trial.

O’Reilly members get unlimited access to books, live events, courses curated by job role, and more from O’Reilly and nearly 200 top publishers.

Book description

Total Quality Management: Key Concepts and Case Studies provides the full range of management principles and practices that govern the quality function. The book covers the fundamentals and background needed, as well as industry case studies and comprehensive topic coverage, making it an invaluable reference to both the novice and the more experienced individual.

Aspects of quality control that are widely utilized in practice are combined with those that are commonly referred to on University courses, and the latest developments in quality concepts are also presented. This book is an ideal quick reference for any manager, designer, engineer, or researcher interested in quality.

• Features two chapters on the latest ISO standards
• Includes an introduction to statistics to help the reader fully grasp content on statistical quality control
• Contains case studies that explore many TQM themes in real life situations

Table of contents

• Cover image
• Table of Contents
• About the Author
• Acknowledgments
• About the Book
• 1.1 What Is Quality?
• 1.2 Quality Definitions
• 1.3 Quotes on Quality
• 1.4 The Scale of Quality
• 1.5 The Paradigm of TQM
• 1.6 How can Effective TQM Change the Situation?
• 1.7 Quality of Design Versus Quality of Conformance
• 1.8 Changing Criteria of Quality
• 1.9 The Five Approaches to Quality
• 1.10 PDCA Cycle
• 1.11 When to Use the PDCA Cycle
• 1.12 Variations of PDCA Terminology
• 1.13 Deming’s Fourteen Points to Improve Quality
• 1.14 Deming System of Profound Knowledge
• 1.15 Juran Quality Trilogy
• 1.16 Conclusion
• 2.1 Introduction
• 2.2 The Historical Development of TQM
• 2.3 Quality Management in the Japanese Scenario
• 2.4 Post-Deming/Juran Quality Scenario
• 2.5 Conclusion
• 3.1 Wilfredo Pareto
• 3.2 Walter A. Shewhart
• 3.3 Edwards Deming
• 3.4 Joseph Juran
• 3.5 Armand Feigenbaum
• 3.6 Prasanta Chandra Mahalanobis
• 3.7 Shigeo Shingo
• 3.8 Taichi Ohno
• 3.9 Kaoru Ishikawa
• 3.10 Genichi Taguchi
• 3.11 Phillip B. Crosby
• 3.12 Yoshio Kondo
• 3.13 Shigeru Mizuno
• 3.14 Yoji Akao
• 3.15 Noriaki Kano
• 3.16 Masaaki Imai
• 3.17 Claus Möller
• 3.18 Blanton Godfrey
• 3.19 Clarence Irwing Lewis
• 3.20 David Garvin
• 3.21 Dorian Shainin
• 3.22 Edward de Bono
• 3.23 Eliyahu M. Goldratt
• 3.24 Eugene L. Grant
• 3.25 Bill Conway
• 3.26 Yasutoshi Washio
• Further Reading
• 4.1 What is Leadership?
• 4.2 Definitions for Leadership
• 4.3 Theories of Leadership
• 4.4 Leadership Categories
• 4.5 Leadership and Goal Setting
• 4.6 Characteristics of Quality Leaders
• 4.7 Warren Bennis Principles of Great Teams
• 4.8 The Seven Habits of Highly Effective Leaders
• 4.9 The Ten Commandments of cGMPs (Current Good Manufacturing Practices)
• 4.10 Fifty Insights for CEOs
• 4.11 Fifteen Thoughts of Chanakya
• 4.12 Wilkie’s Leadership Qualities
• 4.13 Leadership Responsibilities
• 4.14 Moral Leadership
• 4.15 Contributors for Moral Leadership
• 4.16 Role of Top Management in Quality Management
• 4.17 Leadership and Knowledge of Psychology
• 4.18 Case Studies on Leadership Qualities
• 4.19 Some Quotations on Leadership
• 4.20 Conclusion
• 5.1 TQM and Scientific Management
• 5.2 The Industrial Revolution
• 5.3 Evolution of Management Thinking
• 5.4 Phases of Growth of Management Thinking
• 5.5 Early Pioneers in Management Thinking– Pre-19th Century
• 5.6 Concepts of Scientific Management
• 5.7 Specific Aims of Scientific Management
• 5.8 Advantages of Scientific Management
• 5.9 Misconceptions of Scientific Management
• 5.10 Resistance to Scientific Management
• 5.11 Conclusion
• 6.1 Development of System Approach
• 6.2 What is a System?
• 6.3 Definition of a System
• 6.4 Types of Systems
• 6.5 Components of a System
• 6.6 Elements of Control in System Approach
• 6.7 Effect of Environment on the Systems
• 6.8 Open and Closed Systems
• 6.9 Systems and Subsystems
• 6.10 Relationship Between the Systems and Subsystems
• 6.11 Combination of Subsystems
• 6.12 The Management Cube
• 6.13 Planning Pyramid
• 6.14 Summary of the Features of Management as a System
• 6.15 Decision Theory
• 6.16 Problem Analysis and Decision-Making
• 6.17 Characteristics of Decision-Making
• 6.18 Situations Under Which Decisions are Taken
• 6.19 Classifications of Decisions
• 6.20 Different Approaches to Decision-Making
• 6.21 Bias in Decision-Making
• 6.22 Decision Tree
• 6.23 Systematic Decision-Making
• 6.24 Proper Management Decision and Proper Engineering Design
• 6.25 Conclusion
• 7.1 Introduction
• 7.2 Business Plans
• 7.3 Strategic Planning
• 7.4 Methodologies for Strategic Planning
• 7.5 Situational Analysis
• 7.6 Hoshin Kanri
• 7.7 Definitions of Strategic Planning
• 7.8 Strategic Planning Elements
• 7.9 Besterfield’s Seven Steps of Strategic Planning
• 7.10 Strategy Development and Strategy Deployment
• 7.11 Effectiveness of the Strategic Planning
• 7.12 The Four Perspectives for Translating Strategy into Operating Process
• 7.13 Quality Planning
• 7.14 Contingency Theory
• 7.15 Organizing for Strategic Planning
• 7.16 Leavitt's Diamond
• 7.17 Mission and Vision Statements
• 7.18 Caution in the Application of Strategic Planning
• 7.19 Conclusion
• 8.1 Introduction
• 8.2 Forces Leading to the Concept
• 8.3 The Categories of Quality Costs
• 8.4 Hidden Quality Costs
• 8.5 Cost of Lost Opportunities
• 8.6 Service Costs
• 8.7 Tangible and Intangible Costs
• 8.8 Visible Costs and Invisible Costs
• 8.9 Quality Cost Data
• 8.10 Case Studies on Research Done in the Area of Quality Costing
• 8.11 Suggested Model for Quality Costing
• 8.12 Sources for Collecting Quality Cost Data
• 8.13 Uses of Quality Cost Analysis
• 8.14 Pareto Principle
• 8.15 Quality Conformance Level
• 8.16 Top Management Role in Containing Quality Costs
• 8.17 Quality and Safety
• 8.18 Responsibility of Top Management for Product Safety
• 8.19 Case Study on Quality Cost
• 8.20 Conclusion
• 9.1 Why Organization?
• 9.2 What Needs to Be Organized in the Quality Function?
• 9.3 Principles of Organization
• 9.4 Classes of Organizational Structures
• 9.5 Organization for the Quality Function
• 9.6 Centralized Organization
• 9.7 Decentralized Organization
• 9.8 Matrix Type of Organization
• 9.9 Factors to Be Considered in Deciding the Manpower Requirement
• 9.10 Size and Type of an Organization
• 9.11 Conclusion
• 10.1 Sellers’ Market Versus Buyers’ Market
• 10.2 Customer is King
• 10.3 Position of the Customer in an Organization
• 10.4 Customer’s Perception of Quality
• 10.5 Types of Customers
• 10.6 Internal Customers
• 10.7 Customer Satisfaction
• 10.8 Customer Delight
• 10.9 Kano Model of Customer Satisfaction
• 10.10 American Customer Satisfaction Index
• 10.11 Customer Retention
• 10.12 Customer Loyalty
• 10.13 Factors for Establishing Loyal Customers
• 10.14 Customer Attrition
• 10.15 How Companies Lose Their Customers
• 10.16 Customer Surveys
• 10.17 Customer and Quality Service
• 10.18 The Key Elements of Service Quality
• 10.19 Customer Retention Versus Employee Morale
• 10.20 Action to be Taken to Handle Customer Complaints
• 10.21 Healthy Practices by Customer Focused Organizations
• 10.22 Customer Code of Ethics to be Followed
• 10.23 Recently Held International Quality Symposia
• 10.24 Conclusion
• 11.1 What is Total Employee Involvement?
• 11.2 Motivation
• 11.3 Employee Involvement Strategies
• 11.4 Teamwork
• 11.5 Empowerment
• 11.6 Participative Management
• 11.7 Effect of Worker Representation on Productivity
• 11.8 How to Successfully Implement a Change
• 11.9 Theodore Kinni’s Eight Tips for Achieving Motivated Workforce
• 11.10 Benefits of Employee Involvement
• 11.11 Role of Senior Management in Employee Involvement
• 11.12 Recognition and Rewards
• 11.13 Forms of Recognition and Rewards
• 11.14 Criteria for Effective Recognition of Employees
• 11.15 Advantages of Effective Rewarding Systems
• 11.16 Conclusion
• Appendix A Case Study on Worker Involvement
• 12.1 Introduction
• 12.2 Traditional Versus TQM Oriented Vendor Relations
• 12.3 Partnership Definition
• 12.4 Strategic Partnership
• 12.5 Principles of Customer/Supplier Relations
• 12.6 The Three Primary and Necessary Requirements for Partnering
• 12.7 Multiple Supplier Partnership
• 12.8 Advantages of Supplier Partnership
• 12.9 Supplier Selection
• 12.10 Vendor Rating
• 12.11 Criteria for Evaluation
• 12.12 The Partnership Indices
• 12.13 Supplier Certification
• 12.14 Benefits of Supplier Rating
• 12.15 Lean Inspection Through Supplier Partnership
• 12.16 Vendor Managed Inventory
• 12.17 Retailer Supplier Partnership
• 12.18 Impact of Supplier Partnership on Inventory Norms
• 12.19 Conclusion
• 13.1 Introduction
• 13.2 The Meaning of TPM
• 13.3 Evolution of TPM
• 13.4 Definitions of TPM
• 13.5 TPM is an Extension of TQM
• 13.6 TPM Starts With Cleaning
• 13.7 The Seven Types of Abnormalities
• 13.8 The Eight Pillars of TPM
• 13.9 The Five Zeros of TPM
• 13.10 Why Operatives Fail to Adapt TPM as a Way of Life?
• 13.11 What Can TPM Achieve?
• 13.12 Overall Equipment Effectiveness (OEE)
• 13.13 The Six Losses From Poor OEE
• 13.14 The Three Levels of Autonomous Maintenance in TPM
• 13.15 The Five Goals of TPM
• 13.16 Procedure for the Implementation of TPM
• 13.17 Maintenance Work Sampling
• 13.18 Conclusion
• Checklist for JIPE’s Productive Maintenance Excellence Award
• 14.1 Why Quality Awards?
• 14.2 International Quality Awards
• 14.3 International Quality Award Trio
• 14.4 Deming Application Prize
• 14.5 Malcolm Baldrige National Quality Award
• 14.6 European Quality Prizes
• 14.7 Australian Business Excellence Award
• 14.8 Canadian Award for Business Excellence (CABE)
• 14.9 Rajiv Gandhi National Quality Award
• 14.10 Golden Peacock National Quality Award
• 14.11 IMC-Ramakrishna Bajaj National Quality Award (IMCRBNQA)
• 14.12 China Quality Award
• 14.13 National Quality/Business Excellence Awards in Different Countries
• 14.14 Basic Differences Among the Award Trio
• 14.15 Conclusion
• Appendix 14.1 Recipients of Deming Application Prizes From 1998
• Appendix 14.2 Some International Awards Including Quality Awards
• Appendix 14.3 Recipients of Rajiv Gandhi National Quality Award
• Appendix 14.4 Recipients of NIQR Awards in 2014
• Appendix 14.5 Recipients of Golden Peacock Awards
• 15.1 What is a Quality Circle?
• 15.2 Origin of Quality Circles
• 15.3 The American Scenario
• 15.4 The Indian Scenario
• 15.5 Significance of Quality Circles
• 15.6 Objectives of Quality Circles
• 15.7 Nature of Problems That Can be Solved by Quality Circles
• 15.8 Ten Conditions for Successful Quality Circles
• 15.9 Road Map to be followed in a Quality Circle Meeting
• 15.10 Characteristics of an Effective Quality Circle Meeting
• 15.11 Structure of a Quality Circle
• 15.12 Conclusion
• 16.1 Definition of Statistics
• 16.2 Role of Statistics in Analysis
• 16.3 Limitation of Statistics
• 16.4 Elements of Statistical Techniques
• 16.5 Methods of Collecting Data
• 16.6 Data Classification
• 16.7 Data Presentation
• 16.8 Population Versus Sample
• 16.9 Attributes and Variables
• 16.10 Graphs
• 16.11 Single Dimensional Diagrams—Bar Charts
• 16.12 Innovative Graphs
• 16.13 Frequency Graphs
• 16.14 Ogive
• 16.15 “Z” Chart
• 16.16 Lorenz Curves
• 16.17 Frequency Distribution
• 16.18 Central Tendency
• 16.19 Measures of Central Tendency
• 16.20 Mean or an Average
• 16.21 Arithmetic Mean
• 16.22 Geometric Mean, Quadratic Mean, and Harmonic Mean
• 16.23 Median
• 16.25 Dispersion
• 16.26 Range
• 16.27 Mean Deviation
• 16.28 Standard Deviation
• 16.29 Skewness
• 16.30 Kurtosis
• 16.31 Conclusion
• 17.1 Correlation
• 17.2 Regression
• 17.3 Relation between Correlation and Regression
• 17.4 Sampling Theory
• 17.5 Probability
• 17.6 Laws of Probability
• 17.7 Conclusion
• 18.1 Statistical Process Control
• 18.2 Why Control Charts?
• 18.3 Reasons for Variations
• 18.4 Process Capability
• 18.5 Process Capability Index
• 18.6 One-Sided and Two-Sided Specifications
• 18.7 Taguchi Capability Index
• 18.8 Recommended Minimum Values of Cpk
• 18.9 Conclusion
• 19.1 Definitions of Inspection
• 19.2 Objectives of Inspection
• 19.3 Steps Involved in Inspection
• 19.4 Classifications of Inspection Methods
• 19.5 Source Inspection
• 19.6 Inward Inspection
• 19.7 Single and Double Sampling Inspection
• 19.8 In Process Inspection and Final Inspection
• 19.9 Tools of Inspection
• 19.10 Normal Jobs of a Quality Control Inspector
• 19.11 Requirements of an Inspector
• 19.12 Conclusion
• 20.1 Introduction
• 20.2 Check Sheets and Checklists
• 20.3 Histogram or Bar Graph
• 20.4 Scatter Diagram
• 20.5 Control Chart
• 20.6 Pareto Principle
• 20.7 Cause and Effect Diagram
• 20.8 Flow Charts
• 20.9 Conclusion
• Process Chart
• Outline Process Chart
• Flow Process Chart
• Flow Diagram
• 21.1 The Seven Traditional Tools of TQM
• 21.2 The Seven Modern TQM Tools
• 21.3 Affinity Diagram (KJ Method)
• 21.4 Interrelationship Diagraph
• 21.5 Tree Diagram
• 21.6 Prioritization Matrix
• 21.7 Process Decision Program Chart
• 21.8 Activity Network Diagram
• 21.9 Single Minute Exchange of Dies
• 21.9.3 Factors Stressed Upon by Shigeo Shingo, the Originator of SMED
• 21.10 Force Field Analysis
• 21.11 Criteria Rating Form
• 21.12 Models That Can be Used to Represent a Problem
• 21.13 Other Analytical Testing Methods for Safety
• 21.14 Conclusion
• 22.1 What is Kaizen?
• 22.2 Significance of Kaizen in Continuous Improvement
• 22.3 Why Continuous Improvement?
• 22.4 Some Illustrations of the Continuous Process Improvements
• 22.5 Kaizen is the Umbrella
• 22.6 Requirements for Continuous Improvement
• 22.7 Industrial Engineering Principles vs. Kaizen Principles
• 22.8 Importance of Creativity
• 22.9 Creative Methodology
• 22.10 The Principles of Creativity
• 22.11 Brainstorming
• 22.12 Six Thinking Hats
• 22.13 Primary and Secondary Questions
• 22.14 Develop
• 22.15 Define
• 22.16 Install
• 22.17 Maintain
• 22.18 Checklist for Operation Examination
• 22.19 Other Continuous Improvement Techniques
• 22.20 Case Studies on Kaizen Applications
• 22.21 Some Quotations on Change
• 22.22 Conclusion
• 23.1 Introduction
• 23.2 Explanation of the 5Ss
• 23.3 9-Step Procedure for Implementing 5S
• 23.4 5S Audit Sheet
• 23.5 An Easy Way of Remembering the 5S Terms
• 23.6 Conclusion
• 24.1 Introduction
• 24.2 Definitions of Six Sigma
• 24.3 History of Six Sigma
• 24.4 Required Skills for Black Belted Experts in Six Sigma
• 24.5 The Concept of Six Sigma in the Context of TQM
• 24.6 Origin of This Confusion Between Statistical 6σ and TQM Six Sigma
• 24.7 Six Sigma According to General Electric
• 24.8 The Values of the Defect Percentages
• 24.9 Methodologies for Six Sigma
• 24.10 DMAIC Methodology for Six Sigma
• 24.11 DMADV
• 24.12 Detailed Methodology of DMAIC
• 24.13 Organizing for Six Sigma
• 24.14 Software Used for Six Sigma
• 24.15 The Case Study of Mumbai Dabbawalas
• 24.16 Conclusion
• 25.1 What is Lean Management?
• 25.2 Components of Lean Management
• 25.3 Definitions on Lean Management
• 25.4 Evolution of Lean Concept
• 25.5 The House of Lean Management
• 25.6 What can Lean Management Achieve?
• 25.7 Increased Reliability with Lean Management
• 25.8 The Eight Losses in Manufacturing Leading to Lean Management
• 25.9 The 5 Key Drivers in Lean Management System
• 25.10 The 8 Ps of Lean Thinking
• 25.11 Lean Enterprise Implementation Processes and Tools
• 25.12 Road Map for Lean Management
• 25.13 Illustration of a Pit Shop Maintenance Situation
• 25.14 Conclusion
• 26.1 Uncertainties During Development
• 26.2 Failure Modes and Effects Analysis
• 26.3 History of the Development of FMEA
• 26.4 Multiple Causes and Effects Involved in FMEA
• 26.5 Types of FMEA’s
• 26.6 When to Use FMEA
• 26.7 Basic Terms of Reference in FMEA
• 26.8 Risk Priority Number
• 26.9 Procedure for FMEA
• 26.10 Responsibility for Action
• 26.11 Benefits of FMEA
• 26.12 FMEA Software
• 26.13 Conclusion
• 27.1 Functional Reliability
• 27.2 General Causes for Poor Reliability
• 27.3 Distinguishing Between Quality and Reliability
• 27.4 What is RBM?
• 27.5 Bath Tub Characteristics
• 27.6 Basics of RBM
• 27.7 Principles of Reliability Engineering
• 27.8 House of Reliability
• 27.9 Types of Failures
• 27.10 Severity of Failures
• 27.11 Statistical Distribution Curves of Failures
• 27.12 Probability Density Function
• 27.13 Procedure of Establishing Reliability Based Product Quality
• 27.14 Reliability Prediction
• 27.15 Monte Carlo Simulation
• 27.16 Markov Analysis
• 27.17 Conclusion
• 28.1 History of Business Process Reengineering
• 28.2 Definitions of Business Process Reengineering
• 28.3 Business Process Reengineering as a TQM Technique
• 28.4 The Role of Information Technology
• 28.5 Methodology for BPR (Fig. 28.1)
• 28.6 Process Reengineering Life Cycle Approach for BPR
• 28.7 Criticism Against BPR
• 28.8 Satisfactory Underperformance
• 28.9 The Sweet and Sour Cycle
• 28.10 Business Process Management
• 28.11 Conclusion
• 29.1 What is Benchmarking?
• 29.2 Definitions for Benchmarking
• 29.3 Types of Benchmarking
• 29.4 Some of the Parameters That Can be Benchmarked
• 29.5 General Concept of Benchmarking
• 29.6 Phases of Benchmarking
• 29.7 Stage of Benchmarking
• 29.8 Different Approaches to Benchmarking
• 29.9 Tips for the Consultants
• 29.10 Costs of Benchmarking
• 29.11 Advantages of Benchmarking
• 29.12 Limitations of Benchmarking
• 29.13 Professional Associations and Institutions Exclusively for Benchmarking
• 29.14 Conclusion
• 30.1 Why Quality Function Deployment?
• 30.2 Definitions of QFD
• 30.3 History of QFD
• 30.4 Issues That Would be Addressed by QFD
• 30.5 The Four Phases of QFD
• 30.6 Building a House of Quality
• 30.7 Voice of the Customer
• 30.8 Voice of the Organization
• 30.9 Framework for House of Quality
• 30.10 Building Up of House of Quality
• 30.11 Procedure for QFD
• 30.12 Benefits of QFD
• 30.13 Conclusion
• 31.1 What is Quality Loss?
• 31.2 Precision vs. Accuracy
• 31.3 History of the Development of the Concept of the Loss Function
• 31.4 Taguchi Philosophy
• 31.5 Quality Loss Function
• 31.6 Off-Line Quality Control Rule for Manufacturing
• 31.7 Design of Experiments
• 31.8 Robustification
• 31.9 Noise Variables
• 31.10 Case Study
• 31.11 Conclusion
• 32.1 Design for Quality
• 32.2 Design for Six Sigma
• 32.3 Acronyms for Methodologies Akin to DMAIC
• 32.5 Scope of DFSS
• 32.6 Six Sigma Versus DFSS
• 32.7 Benefits of DFSS
• 32.8 Conclusion
• 33.1 What is Value Engineering?
• 33.2 Definitions of Value Engineering
• 33.3 History of Value Engineering
• 33.4 What is Value?
• 33.5 Value Analysis
• 33.6 Objectives of Value Engineering
• 33.7 Typical Benefits of Value Engineering Projects
• 33.8 Functions of a Product as the Customer Wants It
• 33.9 Functional Value of a Product Versus Other Values
• 33.10 Methodology of Value Engineering
• 33.11 Function Analysis System Technique
• 33.12 Case Study
• 33.13 Conclusion
• 34.1 Need for Quality Management Systems
• 34.2 International Organization for Standardization
• 34.3 ISO 9000 Series of Quality Standards
• 34.4 Evolution of ISO 9000 Family of Standards
• 34.5 ISO/TS16949
• 34.6 QS-9000 Series
• 34.7 Requirements as Specified by ISO 9000
• 34.8 Bureau of Indian Standards
• 34.9 Vision and Mission Statement
• 34.10 Mission Statement
• 34.11 Objectives, Goals, and Action Plans
• 34.12 SOP—Standard Operating Procedures
• 34.13 Specific Features of ISO 9004
• 34.14 Steps to be Followed for Getting ISO Certification
• 34.15 Benefits of ISO 9001-2000 and TS 16949 Quality Systems
• 34.16 ISO 9000:2005
• 34.17 2015 Revision of ISO 9000 Series
• 34.18 The Six Stages of the Release of the 2015 Revision
• 34.19 Revision of ISO 9000 in 2015
• 34.20 Conclusion
• 35.1 Introduction
• 35.2 Evolution of the ISO Standards on Environmental Issues
• 35.3 Global Environmental Issues
• 35.4 Magna Carta on Environment
• 35.5 International Initiatives on Environmental Issues
• 35.6 Evolution of ISO 14000 Series
• 35.7 Water Footprint
• 35.8 The Benefits of ISO 14000
• 35.9 Engineer’s Role in Environment Protection
• 35.10 Principles of Green Design
• 35.11 Basic Approaches for Resolving Environmental Problems
• 35.12 Guidelines for Social Responsibility
• 35.13 5 Rs of Wastage Utilization
• 35.14 Conclusion
• 36.1 Introduction
• 36.2 Some of the Terminologies Cited in This Chapter
• 36.3 History of Development of Japanese Management Practices
• 36.4 Quality Circles
• 36.5 Kaizen
• 36.6 GenchiGenbutsuGenjitsu
• 36.7 Monozukuri and Hitozukuri
• 36.8 Nemawashi
• 36.9 Heijunka
• 36.10 3 Mu Checklists
• 36.11 Four Wives and one Husband
• 36.13 5 Management Objectives of Factory Management
• 36.14 5 Zus
• 36.15 Poka Yoke
• 36.16 Andon and Hanedashi
• 36.17 Jidhoka
• 36.18 ChakuChaku
• 36.20 Six Sigma
• 36.21 Gemba Walk
• 36.22 WarusaKagen
• 36.23 Single Minute Exchange of Die
• 36.24 Just in Time
• 36.25 Kanban
• 36.26 HoshinKanri
• 36.27 NichijoKanri
• 36.29 Total Productive Maintenance
• 36.30 Pecha-kucha
• 36.31 DakaraNani
• 36.32 Kanso, Shizen, and Shibumi
• 36.33 OkyaKusoma
• 36.34 Conclusion
• 1 Anna University – BE (MECH/PROD) - GE 406 - Total Quality Management
• 2 Anna University for MBA - GE2022 - Total Quality Management
• 3 Jawaharlal Nehru Technological University – Hyderabad
• 4 Visvesvaraya Technological University, Belgaum - 06IM72 Total Quality Management
• 5 Pune University - 406D - Quality Management
• 6 Sivaji Univ. Kolhapur, BE MECH, Total Quality Management
• 7 Uttar Pradesh Technical University - EME-041: Total Quality Management
• 8 M.J.P. Rohilkhand University, Bareilly: MBA(GEN.) CN-405 Total Quality Management
• 9 VTU - Total Quality Management
• 10 Mahatma Gandhi University, Meghalaya
• 11 West Bengal University - ME 821: Total Quality Management
• 12 Madras University for Master of Business Administration
• 13 Tamil Nadu Open University MBA - MSP 61 - Total Quality Management Paper
• 14 Indian Institute of Plant Engineers - Diploma in Plant Engineering & Management
• 15 Middle East Technical University
• 16 Prince Sultan University
• 17 St. Martin University, Washington State
• 18 University of Kokybės Vadybos (Lithuanian University)
• 19 University of Hradec Kralove & University of Pardubice (Czechoslovakia)
• 20 Cork Institute of Technology
• 21 A. AU & BPGTQM as a Course with 3 Quality Related Papers
• 22 B QE 9112 Total Quality Management
• 23 C QE 9122 Quality by Design
• Bibliography

Product information

• Title: Total Quality Management
• Author(s): D.R. Kiran
• Release date: October 2016
• Publisher(s): Butterworth-Heinemann
• ISBN: 9780128110362

You might also like

Total quality of management.

by Tapan K. Bose

This book emphasizes the importance of the total quality of management for a radical transformation of …

Total Quality Management, 2nd Edition

by Poornima M. Charantimath

The enlarged and revised second edition of Total Quality Management blends the fundamental principles and historical …

Total Quality Management and Just-in-Time Purchasing

by Hale Kaynak

This study investigates the relation of total quality management (TQM) and just-in-time purchasing (JITP) with respect …

Total Quality Management for Project Management

by Kim H. Pries, Jon M. Quigley

Finding ways to improve margins can be the difference between organizations that thrive and those that …

Don’t leave empty-handed

Get Mark Richards’s Software Architecture Patterns ebook to better understand how to design components—and how they should interact.

It’s yours, free.

Check it out now on O’Reilly

Dive in for free with a 10-day trial of the O’Reilly learning platform—then explore all the other resources our members count on to build skills and solve problems every day.

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings

Preview improvements coming to the PMC website in October 2024. Learn More or Try it out now .

• Advanced Search
• Journal List
• Risk Manag Healthc Policy

Total quality management in the health-care context: integrating the literature and directing future research

Majdi m alzoubi.

1 Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan, 43400, Malaysia

ZM Al-Hamdan

2 Department of Nursing Management, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan

Synergistic integration of predictors and elements that determine the success of total quality management (TQM) implementations in hospitals has been the bane of theoretical development in the TQM research area. Thus, this paper aims to offer a systematic literature review to provide a foundation on which research on TQM can be built and to identify the predictors of successful TQM in the health-care context.

Materials and methods

A systematic literature survey was adopted in this paper, involving the review of 25 relevant researched articles found in the databases Science Direct, EBSCO, MEDLINE, CINAHL and PubMed.

The systematic literature survey reveals five variables to be core predictors of TQM, signifying how important these variables are in the successful implementation of TQM in the health-care context. Also, it is revealed that the identified core predictors have positive effects on an improved health-care system. However, the systematic survey of the literature reveals a dearth of studies on TQM in the health-care context.

As TQM has become an important management approach for advancing effectiveness in the health-care sector, this kind of research is of value to researchers and managers. Stakeholders in the health sectors should introduce and implement TQM in hospitals and clinics. Nevertheless, this study has limitations, including that the databases and search engines adopted for the literature search are not exhaustive.

Introduction

Given the snowballing global economic competition and other external pressures, organizations have been compelled to pursue enduring quality and quality management which will, in turn, enhance their competitive advantage. Quality as a concept has metamorphosed over the years, and it involves objective quality bordering on the characteristics and quality of goods and services that meet implicit and explicit customer demands. It also includes subjective quality which denotes the capability to produce goods and services in the best, effective and efficient manner. 1

Looking at the health-care context, quality has always been aimed at since the time of Florence Nightingale. 2 Given that quality assurance is a requisite for economic survival, 3 and that it is an ethical, legal and social rights matter, 4 the health sector has been worried about it for more than a decade .2 Quality assurance is significant as it concerns customer satisfaction and the reduction of risks connected with health care to a minimum. 5 In the present time, health care has become a developing profession with an approach to care quality via the appraisal and regulation of structure, process and care result components. 6

Given the ever-increasing competitive and dynamic environment in which hospitals operate, and the need to augment hospitals’ performance and health-care quality, researchers 2 , 7 – 9 have conducted considerable research on enhancement of health-care quality. Moreover, given that nurse performance is crucial to the overall performance of the hospital and effective health-care system, there has been a research focus on nurse performance. 7 Nurses represent a large percentage of the health workers in any hospital. Nurses would play a significant role in the implementation of any intervention programs introduced by any hospital.

Moreover, research 8 – 11 has shown that the health-care system is facing a myriad of challenges which include high care cost, swiftly increasing dependence on technology, economic pressure on health organizations, reduction in health-care quality, 8 , 10 fulfillment of patients’ needs, 9 augmented numbers of patients who are suffering from multiple illnesses, increased demand for high-quality care, increased health-care costs and cost-containment pressures (Organization for Economic Cooperation and Development [OECD] 2007). 11 Some studies have indicated that an active way of surmounting health-care challenges is through an intervention program that will border on quality management (eg, total quality management [TQM]). 12

TQM is a system implemented by the management of an organization to achieve the satisfaction of customers/patients .13 The importance of TQM as a strategy to improve organizational performance has grown in this era of globalization. 14 Numerous research has revealed the role of TQM in the enrichment of system quality and enhancement of both employee and organizational performance. TQM is known for continuous quality improvement, quality management and total quality control. 10 TQM is held to be an innovative approach to the management of organizations. In the medical sector, TQM integrates quality orientation in all processes and procedures in health-care delivery .15 It is now being widely adopted in the medical sector of many countries. The research by Vituri and Évora 2 indicates that the literature on TQM in health sectors reveals that TQM has been fully adopted in some health institutions.

The implementation of TQM, upon which the success of TQM hinges, is intricate and complex; it depends on a good combination of certain predictors (ie, critical success factors [CSF]), and its benefits are difficult to accomplish .16 Different means of integrating predictors of TQM, although inconsistent, have emerged in the literature. 17 Some predictors have been considered crucial to TQM success, 18 and thus the exceptional predictors which can be adopted by organizations, irrespective of their industry, type, size or location. 19 These predictors are regarded as the determinants of firm performance via effective implementation of TQM.

Nevertheless, synergistic integration of predictors and elements, otherwise known as CSFs and which determine the success of TQM implementation, has been the bane of theoretical development in the TQM research area. Some of these predictors have been reported, by extant studies, 20 to have a positive impact on performance.

Likewise, substantive problems exist and can hamper theoretical development in the research area. The literature lacks foundation and structure on which the research on TQM in the health-care context is based, and connections between studies on TQM in the health-care context can hardly be drawn. The current state of extant research on TQM in the health-care context indicates that there is a need for more research in the area. 21 New knowledge development regarding identification of fitting predictors for successful TQM that enhance effectiveness in the health-care sector should be developed and where further research needs to be done should be identified.

Considering the extant works on a systematic literature review on predictors of TQM, two English written studies 14 , 22 are discernible, but Hietschold et al 14 focused on CSFs of TQM in general contexts while Aquilani et al 22 focused on the identification of TQM research, implementation of TQM research and impact-of-TQM-on-performance research in general contexts. Besides these two studies, no studies have focused on the systematic literature survey of predictors/elements of TQM in the health-care context.

Therefore, undertaking a systematic literature review in this aspect of research is germane, and this paper is poised to do as such. This paper conducts a systematic literature survey to provide a foundation stone on which research on TQM in the health-care context can be built, to evaluate the current state of evidence for TQM in the health-care context, to reveal inadequacies in the literature and to point to where further research needs to be done.

This research is guided by the following research question: what are the predictors of successful TQM in the health-care context between the period of 2005 and 2016? Like the two previous studies on a systematic literature review of TQM, this paper adopts and applies the three core steps of planning, execution and reporting that constitute a systematic literature survey. 23

This research seeks to obtain the most important predictors of successful TQM in the health-care context. This includes the review of published peer-reviewed works in English-language journals, which were published between 2005 and 2016. The literature was sourced from Science Direct, EBSCO, MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index of Nursing and Allied Health Literature) and PubMed (US National Library of Medicine).

As part of the process of systematic literature analysis in this paper, a structured search of the academic literature was conducted to find published articles that identified TQM, total quality management, implementation, CSFs, health care and nursing. The keywords used in the search are TQM, total quality management, implementation, critical success factors, health care and nursing.

As presented in Figure 1 , a search of Science Direct, MEDLINE, EBSCO, CINAHL and PubMed yielded 2133, 6341, 1867, 7 and 474 articles, respectively. Then, repeated citations, dissertations and case studies were deleted. Via reading of the title and abstract, the remaining articles were narrowed down by relevance. Only peer-reviewed academic and practice articles that focus on total quality management, implementation, CSFs health care and nursing were selected. This exercise yielded a total of 475 articles which were published between 2005 and 2016.

Consort flow chart of systematic review method.

Abbreviation: TQM, total quality management.

Furthermore, inclusion and exclusion criteria were applied to narrow down the yielded articles. The inclusion criteria involved articles which were written in English language and published between 2005 and 2016, articles that dwell on implementation and critical factors clearly, articles from any geographical location which examined TQM, TQM principles, TQM tools and methods in the context of the health-care sector, and TQM studies that used a quantitative research approach and quasi-experimental research design. The exclusion criteria involved articles which are written in non-English language and published before 2005 or after 2016, studies in which the population and sample were not health-care workers practicing inside hospitals, gray literature or works that are not published in a peer-reviewed journal, dissertations/theses, proceedings, published abstracts, studies with qualitative research methods, and commentary articles written to convey opinion or stimulate research or discussion, with no research component. By employing these inclusion and exclusion criteria, 20 articles were generated. Moreover, to guarantee all-inclusiveness and to widen the scope of the review, a forward and backward search of citations in articles was conducted. This was recognized via the database searches, and 25 articles were finally selected. Thereafter, the 25 generated articles were fully perused.

Likewise, for exhaustive research, the approach adopted in this paper also involved the identification and measurement of predictors (CSFs) of TQM. This was done by identifying the most common or important predictors in the selected 25 works that analyze the existing models and/or scales in other contexts, industries or countries. It also includes recognition of the papers that investigate the influence of TQM implementation and/or the impact of predictors of TQM on performance. Additionally, for a proper review of the selected works, adequate plotting of the development of the line of reasoning, integrating and synthesizing the studies, authors, study design, study population, variables, measures of variables and findings of each selected article were identified and noted down. Figure 1 represents the consort flow chart of the systematic review method.

Findings and discussion

Altogether, 25 researched articles were eventually reviewed. All of the selected 25 articles are based on empirical evidence, although a possible limitation of this systematic review strategy might be the exclusion of qualitative studies in the research. Based on Table 1 , five predictors were identified. These are presented in Table 2 .

Matrix of the reviewed literature

Abbreviations: HR, human resources; TQM, total quality management.

TQM predictors in the reviewed studies

The researched literature on predictors of successful TQM implementation was found to be from various countries but in the same health sector. While some predictors adopted by a few of the researched studies were identified, the most frequent and core predictors were identified and considered. As depicted in Table 2 , education and training, continuous quality improvement, patient focus/satisfaction, top management commitment and teamwork appear to be the core predictors (CSFs) in this review. This finding validates how important these variables are in the successful implementation of TQM in the health-care context.

It is noteworthy that the core predictors (ie, education and training, continuous quality improvement, patient focus/satisfaction, top management commitment and teamwork) identified in this study were among the variables found to be central and frequently used CSFs in the previous systematic-review-based studies. 14 , 21 This validates and confirms the findings of the previous studies.

Moreover, it is found that the most adopted research method in TQM in the health-care context is cross-sectional research; 56% of the reviewed researched articles 41 – 46 used a cross-sectional research design, but 32% of the studies employed a quasi-experimental research approach. This indicates that there is still a need for more research on TQM in the health-care context which will adopt a quasi-experimental research approach, because quasi-experimental research design can be very useful in recognizing general trends from the results, and reduces the difficulty and ethical worries that may be connected with the pre-selection and random assignment of test subjects. On the geographical location aspect, the result of this analysis showed that 28% of the reviewed studies were conducted in Iran while 20% of the reviewed studies were conducted in Jordan; 12% and 8% of the reviewed studies were conducted in Saudi Arabia and Pakistan, respectively. The other studies, 4% each, came from India, Namibia, Turkey, the United States, France and Mauritius.

With regards to the influence of predictors on performance in the researched studies, it is found that all of the selected articles 47 , 48 , 49 , 50 ,. 51 that examined the effects of the core predictors (continuous quality improvement, education and training, patient focus/satisfaction, top management commitment and teamwork) of TQM indicate a positive effect of TQM in the health-care sector.

More so, the findings of this review signify that predictors of TQM implementation will result in higher levels of nurse performance .51 In addition, the literature and empirical evidence have shown that TQM in an organizational process always results in better performance of the organization. TQM focuses on patient satisfaction, organization problem identification, building and promotion of open decision-making among employees. It embraces a holistic strategy that gives room for every worker to share responsibility for the quality of the work done. It makes use of analytical mechanisms, such as flow and statistical charts and checksheets, to gather information about activities in an organization. 52 In the medical sector, TQM aims at embedding orientation of quality in all processes and procedures in the delivery of health services .15

Nevertheless, this literature survey is not an exhaustive review of the literature on TQM as it solely focused on the effect of TQM. Future research should widen the scope of this paper by including studies conducted in other contexts (eg, education, manufacturing, etc) and studies that use different research methods (eg, longitudinal research method, randomized control trial method). While TQM predictors have increased in number to reach a total of 59 TQM practices, 21 TQM predictors in the context of health care are few but growing. Investigating the nature of TQM predictors and the methods used in examining them indicates that researchers may have been keen in searching for new predictors instead of trying to cluster them and identify those that are critical for successful TQM implementation. In addition, research on TQM predictors in the health-care sector is scanty, as noted previously.

Practically, given the identified core TQM predictors in this study, it is evident that hospitals’ management should consider entrenchment of continuous quality improvement, education and training, patient focus/satisfaction top management commitment and teamwork in the implementation of TQM, which will consequently enhance hospital performance. Given that TQM predictors are many and some of them have been considered core in several specific contexts, industries, dimensions, etc, it is held that stakeholders in different sectors/industries should begin to identify the most vital TQM practices that suit their situations, goals, strategies and expected performances.

Conclusion and recommendations

As TQM has become an important management approach for advancing performance, this kind of research is of value to researchers and managers. Nevertheless, this study has limitations, including that the databases and search engines adopted for the literature search are not exhaustive. Although a good number of keywords are used, there can be other likely keywords that can be included.

This work has contributed to the enrichment of the relevant literature and made theoretical and methodological contributions. It has provided a foundation on which research on TQM can be built via review of the work done between 2005 and 2016, plotting the development of the line of reasoning, and integration and synthesis of studies from TQM in the health-care context. It has also contributed by evaluating the current state of evidence regarding TQM, indicating inadequacies in the literature and pointing to where further research needs to be done. Thus, it contributes to the present body of knowledge as well as the research on TQM in the health-care context.

This work has also established that the most adopted research method in health-care-based TQM is cross-sectional research, followed by quasi-experimental research, and the researched studies were mostly conducted in Asia. The findings of the researched literature indicate a positive effect of TQM in the health-care context, indicating that TQM implementation, which contains the identified core predictors, will result in higher levels of performance. Furthermore, TQM implementation can help health-care professionals to gain more qualified behaviors with total commitment to work toward handling the patients, which in the long run will augment their performance.

The findings of the reviewed studies indicate how it would be useful for stakeholders in the health sectors to introduce and implement TQM in the hospitals and clinics, as this would enhance the performance of the health workers and consequently improve organizational performance. Given the limitations of this work, it is sufficed to suggest that future research should widen the scope of this paper by including studies conducted in other contexts and studies that use different research methods, and it should also develop a comprehensive TQM taxonomy to explain how and why TQM practices coalesce within systems that facilitate higher performance.

The authors report no conflicts of interest in this work.

• SUGGESTED TOPICS
• The Magazine
• Newsletters
• Managing Yourself
• Managing Teams
• Work-life Balance
• The Big Idea
• Data & Visuals
• Reading Lists
• Case Selections
• HBR Learning
• Topic Feeds
• Account Settings
• Email Preferences

Quality management

• Business management
• Process management
• Project management

Made in U.S.A.: A Renaissance in Quality

• Joseph M. Juran
• July 01, 1993

Creative Benchmarking

• Dawn Iacobucci
• Christie Nordhielm
• From the November–December 2000 Issue

How U.S. Health Care Got Safer by Focusing on the Patient Experience

• Thomas H Lee MD
• Thomas H. Lee
• May 31, 2017

Why (and How) to Take a Plant Tour

• David M. Upton
• Stephen E. MacAdam
• From the May–June 1997 Issue

Lessons from the U.S. Navy on Building a Culture of Learning

• Bill Lescher
• November 28, 2023

Selection Bias and the Perils of Benchmarking

• Jerker Denrell
• From the April 2005 Issue

Creating a Culture of Quality

• Ashwin Srinivasan
• Bryan Kurey
• From the April 2014 Issue

Manage Your Human Sigma

• John H. Fleming
• Curt Coffman
• James K. Harter
• From the July–August 2005 Issue

The IT Transformation Health Care Needs

• Nikhil Sahni
• Robert S. Huckman
• Anuraag Chigurupati
• David M. Cutler
• From the November–December 2017 Issue

Quality Circles After the Fad

• Edward E. Lawler III
• Susan A. Mohrman
• From the January 1985 Issue

Each Employee's Retirement Is Unique

• Charalambos Vlachoutsicos
• September 30, 2014

Power of Internal Guarantees

• Christopher W.L. Hart
• From the January–February 1995 Issue

Lean Knowledge Work

• Bradley Staats
• From the October 2011 Issue

Will Disruptive Innovations Cure Health Care? (HBR OnPoint Enhanced Edition)

• Clayton M. Christensen
• Richard Bohmer
• John Kenagy
• June 01, 2004

Reign of Zero Tolerance (HBR Case Study and Commentary)

• Janet Parker
• Eugene Volokh
• Jean Halloran
• Michael G. Cherkasky
• From the November 2006 Issue

Holding Hospitals Accountable for Patient Safety

• Leah Binder
• August 30, 2021

U.S. Health Care Reform Can't Wait for Quality Measures to Be Perfect

• Brian J Marcotte
• Annette Guarisco Fildes
• Michael Thompson
• October 04, 2017

How One Hospital Improved Patient Handoffs for the Long Term

• Margaret M. Luciano
• April 30, 2018

Organizational Grit

• Angela L. Duckworth
• From the September–October 2018 Issue

Time-and-Motion Regained

• Paul S. Adler
• From the January–February 1993 Issue

Ritz-Carlton: Using Information Systems to Better Serve the Customer

• W. Earl Sasser Jr.
• Thomas O. Jones
• Norman Klein
• October 20, 1994

Pleasant Bluffs: Launching a Home-Based Hospital Program

• Laura Erskine
• April 07, 2016

AT&T's Transmission Systems Business Unit (B)

• Rogelio Oliva
• James Quinn
• Elizabeth Keating
• June 21, 2004

Maestro Pizza (D): This Means War

• Ramon Casadesus-Masanell
• Fares Khrais
• May 26, 2022

Maestro Pizza (F): A New Direction

Redefining Health Care: Creating Value-Based Competition on Results

• Michael E. Porter
• Elizabeth Olmsted Teisberg
• May 25, 2006

Daewoo Shipbuilding and Heavy Machinery

• October 01, 1994

Building Innovation into the Outsourcing Relationship: A Case Study

• Cheryl Schuster
• October 23, 2012

LYFEN: Building a Supply Chain to Create Competitive Advantage

• P. Fraser Johnson
• May 17, 2019

Radial Bearing Team: A Manufacturing Group's Transformation to Self-Directed Work Teams

• Joseph K Kavanaugh
• Victor Sower
• June 13, 2014

Danaher Corporation, 2007-2017

• John R. Wells
• Gabriel Ellsworth
• January 18, 2017

Romeo Engine Plant

• Robert S. Kaplan
• Amy P. Hutton
• November 19, 1993

On Weldon's Watch: Recalls at Johnson & Johnson from 2009 to 2010

• Clayton Rose
• Sandra J. Sucher
• Rachel Gordon
• Matthew Preble
• October 21, 2010

Zero-Fee Tours: An Irresistible Bargain or a Sinkhole?

• Penelope Chan
• June 12, 2012

Six Sigma Quality at Flyrock Tires

• Sunil Chopra
• January 01, 2004

Porcini's Pronto: "Great Italian cuisine without the wait!"

• James L. Heskett
• Richard Luecke
• April 04, 2011

Country Market Collection: A Case of Channel Conflict

• Kimberly A Whitler
• Randle D. Raggio
• November 09, 2017

Six Sigma at Cintas Corporation

• Adam Bortolussi
• August 29, 2010

Green ChillyZ: Redefining Market Boundaries

• Subrat Sarangi
• May 17, 2017

Iz-Lynn Chan at Far East Organization (Abridged)

• Linda A. Hill
• Anthony J. Mayo
• Dana M. Teppert
• December 02, 2014

Popular Topics

Partner center.

Total quality management at Motorola: a successful blueprint for manufacturing and service organizations

• February 1995
• The Journal of health administration education 13(1):15-23
• 13(1):15-23

• Northwestern University

Discover the world's research

• 25+ million members
• 160+ million publication pages
• 2.3+ billion citations
• J Qual Mainten Eng
• Timothy Silombela

• Recruit researchers
• Join for free
• Login Email Tip: Most researchers use their institutional email address as their ResearchGate login Password Forgot password? Keep me logged in Log in or Continue with Google Welcome back! Please log in. Email · Hint Tip: Most researchers use their institutional email address as their ResearchGate login Password Forgot password? Keep me logged in Log in or Continue with Google No account? Sign up

Information

• Author Services

Initiatives

You are accessing a machine-readable page. In order to be human-readable, please install an RSS reader.

All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https://www.mdpi.com/openaccess .

Feature papers represent the most advanced research with significant potential for high impact in the field. A Feature Paper should be a substantial original Article that involves several techniques or approaches, provides an outlook for future research directions and describes possible research applications.

Feature papers are submitted upon individual invitation or recommendation by the scientific editors and must receive positive feedback from the reviewers.

Editor’s Choice articles are based on recommendations by the scientific editors of MDPI journals from around the world. Editors select a small number of articles recently published in the journal that they believe will be particularly interesting to readers, or important in the respective research area. The aim is to provide a snapshot of some of the most exciting work published in the various research areas of the journal.

Original Submission Date Received: .

• Active Journals
• Find a Journal
• Proceedings Series
• For Authors
• For Reviewers
• For Editors
• For Librarians
• For Publishers
• For Societies
• For Conference Organizers
• Open Access Policy
• Institutional Open Access Program
• Special Issues Guidelines
• Editorial Process
• Research and Publication Ethics
• Article Processing Charges
• Testimonials
• Preprints.org
• SciProfiles
• Encyclopedia

Article Menu

• Subscribe SciFeed
• Google Scholar
• on Google Scholar
• Table of Contents

Find support for a specific problem in the support section of our website.

Please let us know what you think of our products and services.

Visit our dedicated information section to learn more about MDPI.

JSmol Viewer

The role of total quality management in the pharmaceutical, food, and nutritional supplement sectors.

1. Introduction

Overview of total quality management (tqm) and its importance, 2. materials and methods, 2.1. literature review process, 2.2. bibliometric analysis, 3. results and discussion, 4. challenges and future directions, 5. conclusions, author contributions, institutional review board statement, informed consent statement, data availability statement, conflicts of interest.

• McLaughlin, C.; Kaluzny, A. Total quality management in health: Making it work. Health Care Manag. Rev. 1990 , 15 , 7–14. [ Google Scholar ] [ CrossRef ]
• Kaluzny, A.; McLaughlin, C.; Simpson, K. Applying total quality management concepts to public health organizations. Public Health Rep. 1992 , 107 , 257–264. [ Google Scholar ] [ PubMed ] [ PubMed Central ]
• Berwick, D. Continuous improvement as an ideal in health care. N. Engl. J. Med. 1989 , 320 , 53–56. [ Google Scholar ] [ CrossRef ]
• Jasiulewicz-Kaczmarek, M. Is Sustainable Development an Issue for Quality Management? Found. Manag. 2014 , 6 , 51–66. [ Google Scholar ] [ CrossRef ]
• Kumar, V.; Choisne, F.; De Grosbois, D.; Kumar, U.D. Impact of TQM on company’s performance. Int. J. Qual. Reliab. Manag. 2009 , 26 , 23–37. [ Google Scholar ] [ CrossRef ]
• Oakland, J.; Oakland, R.; Turner, M. Total Quality Management and Operational Excellence: Text with Cases , 5th ed.; Routledge: Abingdon, UK, 2014. [ Google Scholar ]
• Antony, J.; Banuelas, R. Key ingredients for the effective implementation of Six Sigma program. Meas. Bus. Excell. 2002 , 6 , 20–27. [ Google Scholar ] [ CrossRef ]
• Yu, L.; Kopcha, M. The future of pharmaceutical quality and the path to get there. Int. J. Pharm. 2017 , 528 , 354–359. [ Google Scholar ] [ CrossRef ] [ PubMed ]
• Xiao, A.; Qin, Y.; Xu, Z.; Škare, M. Emerging research trends of total quality management in the COVID-19 pandemic: A dynamic evolution analysis. Econ. Res-Ekon. Istraživanja. 2023 , 36 , 2140305. [ Google Scholar ] [ CrossRef ]
• Sorli, M.; Stokic, D. Pharmaceutical supply chains: Key issues and strategies for optimization. Int. J. Logist. Manag. 2019 , 30 , 912–935. [ Google Scholar ]
• Fellows, M.; Friedli, T.; Li, Y.; Maguire, J.; Rakala, N.; Ritz, M.; Bernasconi, M.; Seiss, M.; Stiber, N.; Swatek, M.; et al. Benchmarking the Quality Practices of Global Pharmaceutical Manufacturing to Advance Supply Chain Resilience. AAPS J. 2022 , 24 , 111. [ Google Scholar ] [ CrossRef ] [ PubMed ] [ PubMed Central ]
• Sroufe, R.; Curkovic, S. Supply chain management strategies in the pharmaceutical industry: A framework for supply chain integration. J. Bus. Logist. 1998 , 19 , 41–64. [ Google Scholar ]
• Sukdeo, N. The Role of Total Quality Management (TQM) Practices on improving organizational performance in manufacturing and service organizations. In Proceedings of the International Conference on Industrial Engineering and Operations Management, Bogota, Colombia, 25–26 October 2017; pp. 1133–1152. Available online: https://ieomsociety.org/bogota2017/papers/255.pdf (accessed on 7 May 2024).
• Griffith, C. Food safety: Where from and where to? Br. Food J. 2006 , 108 , 6–15. [ Google Scholar ] [ CrossRef ]
• Gombas, K. US Food Safety Modernization Act. 2003. Available online: https://www.sciencedirect.com/topics/food-science/fda-food-safety-modernization-act (accessed on 7 May 2024).
• Steele, M. Food Regulations and Enforcement in the USA. Available online: https://www.sciencedirect.com/science/article/pii/B9780081005965034296?via%3Dihub (accessed on 7 May 2024).
• Tokatli, F.; Cinar, A.; Schlesser, J. HACCP with multivariate process monitoring and fault diagnosis techniques: Application to a food pasteurization process. Food Control. 2005 , 16 , 411–422. [ Google Scholar ] [ CrossRef ]
• McAnelly, J.K. HACCP: A total quality system for assuring food safety and quality. In Proceedings of the Annual Reliability and Maintainability Symposium (RAMS), Anaheim, CA, USA, 24–27 January 1994; pp. 31–36. [ Google Scholar ] [ CrossRef ]
• Hamulka, J.; Jeruszka-Bielak, M.; Górnicka, M.; Drywień, M.; Zielinska-Pukos, M. Dietary supplements during COVID-19 outbreak. Results of google trends analysis supported by PLifeCOVID-19 online studies. Nutrients. 2021 , 13 , 54. [ Google Scholar ] [ CrossRef ]
• Santini, A.; Cammarata, S.M.; Capone, G.; Ianaro, A.; Tenore, G.C.; Pani, L.; Novellino, E. Nutraceuticals: Opening the debate for a regulatory framework. Br. J. Clin. Pharmacol. 2018 , 84 , 659–672. [ Google Scholar ] [ CrossRef ]
• Lordan, R. Dietary supplements and nutraceuticals market growth during the coronavirus pandemic—Implications for consumers and regulatory oversight. Pharma Nutr. 2021 , 18 , 100282. [ Google Scholar ] [ CrossRef ] [ PubMed ] [ PubMed Central ]
• Smith, D.; Villiers, T.; Freeman, G. Taskforce on Innovation, Growth, and Regulatory Reform. 2021. Available online: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/994125/FINAL_TIGRR_REPORT__1_.pdf (accessed on 16 July 2021).
• Stefanis, C.; Stavropoulou, E.; Giorgi, E.; Voidarou, C.; Constantinidis, T.C.; Vrioni, G.; Tsakris, A. Honey’s Antioxidant and Antimicrobial Properties: A Bibliometric Study. Antioxidants 2023 , 12 , 414. [ Google Scholar ] [ CrossRef ] [ PubMed ]
• Stefanis, C.; Giorgi, E.; Kalentzis, K.; Tselemponis, A.; Tsigalou, C.; Nena, E.; Kontogiorgis, C.; Kourkoutas, Y.; Voidarou, C.; Chatzaki, E.; et al. Assessing Worldwide Research Activity on ICT in Climate Change Using Scopus Database: A Bibliometric Analysis. Front. Env. Environ. Sci. 2022 , 10 , 868197. [ Google Scholar ] [ CrossRef ]
• Martín-Martín, A.; Orduna-Malea, E.; Thelwall, M.; Delgado López-Cózar, E. Google Scholar, Web of Science, and Scopus: A systematic comparison of citations in 252 subject categories. J. Informetr. 2018 , 12 , 1160–1177. [ Google Scholar ] [ CrossRef ]
• Qi, Q.; Cai, T.; Zhou, K.; Hu, Z.; Hao, F.; Wei, Y.; Ge-Zhang, S.; Cui, J. Consumers’ Risk Perception of Triploid Food: Empirical Research Based on Variance Analysis and Structural Equation Modeling. Sustainability 2024 , 16 , 3872. [ Google Scholar ] [ CrossRef ]
• Awuchi, C.G. HACCP, quality, and food safety management in food and agricultural systems. Cogent Food Agric. 2023 , 9 , 2176280. [ Google Scholar ] [ CrossRef ]
• Milanesi, M.; Guercini, S. Pharmaceutical industry riding the wave of sustainability: Review and opportunities for future research. J. Clean. Prod. 2020 , 261 , 121204. [ Google Scholar ] [ CrossRef ]
• Demartini, M.; Pinna, C.; Tonelli, F.; Terzi, S.; Sansone, C.; Testa, C. Food industry digitalization: From challenges and trends to opportunities and solutions. In Proceedings of the 16th IFAC Symposium on Information Control Problems in Manufacturing, Bergamo, Italy, 11–13 June 2018; Available online: https://re.public.polimi.it/bitstream/11311/1111492/1/Food%20industry%20digitalization%20from%20challenges%20and%20trends%20to%20opportunities%20and%20solutions%20-%20Final%20Version.pdf (accessed on 7 May 2023).
• Grobbelaar, J. Quality control and assurance: Crucial for the sustainability of the applied phycology industry. J. Appl. Phycol. 2003 , 15 , 209–215. [ Google Scholar ] [ CrossRef ]
• Shashi, M. Sustainable digitalization in pharmaceutical supply chains using theory of constraints: A qualitative study. Sustainability 2023 , 5 , 8752. [ Google Scholar ] [ CrossRef ]
• Haddud, A.; DeSouza, A.; Khare, A.; Lee, H. Examining potential benefits and challenges associated with the Internet of Things integration in supply chains. J. Manuf. Technol. Manag. 2018 , 28 , 1055–1085. [ Google Scholar ] [ CrossRef ]
• Korpela, K.; Hallikas, J.; Dahalberg, T. Digital supply chain transformation toward blockchain integration. In Proceedings of the 50th Hawaii International Conference on System Science, Waikoloa, HI, USA, 4–7 January 2017; Available online: https://www.semanticscholar.org/paper/Digital-Supply-Chain-Transformation-toward-Korpela-Hallikas/6ff218ab03660c71e15b3225ee7a501c0fa5beb6 (accessed on 15 March 2023).
• Szalavetz, A. The digitalisation of manufacturing and blurring industry boundaries. CIRP J. Manuf. Sci. Technol. 2022 , 37 , 332–343. [ Google Scholar ] [ CrossRef ]
• Hole, G.; Hole, A.; McFalone-Shaw, I. The digital implementation process? Int. J. Pharm. 2021 , 3 , 100095. [ Google Scholar ] [ CrossRef ]
• El-Hefney, J.G.; El-Warwary, M.; Elhawary, M.; Bahr, S.; Mounir, M.; Abdelgayed, Y.; Ali, I.N.; Rostom, H. Trends of digitalization in pharmacovigilance process after COVID-19: Pharmaceutical companies’ perspective. Drug Saf. 2021 , 44 , 1462–1463. [ Google Scholar ]
• Bigliardi, B.; Galati, F. Models of adoption of open innovation within the food industry. Trends Food Sci. Technol. 2013 , 30 , 16–26. [ Google Scholar ] [ CrossRef ]
• Boland, M. Innovation in the food industry: Personalized nutrition and mass customisation. Innov. Manag. Policy Pract. 2008 , 10 , 53–60. [ Google Scholar ] [ CrossRef ]
• Stavropoulou, E.; Bezirtzoglou, E. Human microbiota in aging and infection: A review. Crit. Rev. Food Sci. Nutr. 2019 , 59 , 537–545. [ Google Scholar ] [ CrossRef ] [ PubMed ]
• Hussain, M.A. Food contamination: Major challenges of the future. Foods 2016 , 5 , 21. [ Google Scholar ] [ CrossRef ] [ PubMed ] [ PubMed Central ]
• Verdouw, C.; Wolfert, S.; Beulens, A.; Rialland, A. Virtualization of food supply chains with the internet of things. J. Food Eng. 2016 , 176 , 128–136. [ Google Scholar ] [ CrossRef ]
• Stavropoulos, A. Social Trust, Political Trust and Digitalisation. Ph.D. Thesis, School of Social and Political Sciences, University of Glasgow, Glasgow, UK, 2023. [ Google Scholar ]
• Fullin Saldanha, D.F.; Nogueira Dias, C.; Guillaumon, S. Transparency and accountability in digital public services: Learning from the Brazilian cases. Gov. Inf. Q. 2022 , 39 , 101680. [ Google Scholar ] [ CrossRef ]
• Seltzer, A.; Roncari, I.; Garfinkel, P. Effect of Patient Education on Medication Compliance. Can. J. Psychiatry 1980 , 25 , 638–645. [ Google Scholar ] [ CrossRef ] [ PubMed ]

Click here to enlarge figure

Share and Cite

Vassos, V.; Voltezou, A.; Stavropoulos, A.; Stavropoulou, E.; Stefanis, C.; Tsigalou, C.; Nena, E.; Chatzaki, E.; Constantinidis, T.C.; Bezirtzoglou, E. The Role of Total Quality Management in the Pharmaceutical, Food, and Nutritional Supplement Sectors. Foods 2024 , 13 , 2606. https://doi.org/10.3390/foods13162606

Vassos V, Voltezou A, Stavropoulos A, Stavropoulou E, Stefanis C, Tsigalou C, Nena E, Chatzaki E, Constantinidis TC, Bezirtzoglou E. The Role of Total Quality Management in the Pharmaceutical, Food, and Nutritional Supplement Sectors. Foods . 2024; 13(16):2606. https://doi.org/10.3390/foods13162606

Vassos, Vassilios, Agathi Voltezou, Agathangelos Stavropoulos, Elisavet Stavropoulou, Christos Stefanis, Christina Tsigalou, Evangelia Nena, Ekaterini Chatzaki, Theodoros C. Constantinidis, and Eugenia Bezirtzoglou. 2024. "The Role of Total Quality Management in the Pharmaceutical, Food, and Nutritional Supplement Sectors" Foods 13, no. 16: 2606. https://doi.org/10.3390/foods13162606

Article Metrics

Article access statistics, further information, mdpi initiatives, follow mdpi.

Subscribe to receive issue release notifications and newsletters from MDPI journals

• Search Menu

Sign in through your institution

• Virtual Issues
• Advance Articles
• Supplements
• Highly Cited Articles
• Podcast Episodes
• Author Guidelines
• Submission Site
• Review Guidelines
• Open Access
• Self-Archiving Policy
• Reasons to Publish with Military Medicine
• About AMSUS
• About Military Medicine
• Become a Reviewer
• Editorial Board
• Advertising and Corporate Services
• Journals Career Network
• Journals on Oxford Academic
• Books on Oxford Academic

• < Previous

Case Study: The Implementation of Total Quality Management at the Charleston VA Medical Center's Dental Service

• Article contents
• Figures & tables
• Supplementary Data

Barry L. Matthews, Case Study: The Implementation of Total Quality Management at the Charleston VA Medical Center's Dental Service, Military Medicine , Volume 157, Issue 1, January 1992, Pages 21–24, https://doi.org/10.1093/milmed/157.1.21

• Permissions Icon Permissions

Total Quality Management (TQM) is an evolving management philosophy which has recently been introduced to the health care industry. TQM requires the use of a continuous process improvement methodology for delivered services. It was implemented at Charleston VAMC's Dental Service as a study to determine its effectiveness at the grassroots level. A modified Quality Circle was established within the clinical service under the guidance of Dr. Edward Deming's 14 principles. Top management support was not present. Many lessons were learned as process improvements were made. The overall success was limited due to the inability to address interdepartment process problems.

Association of Military Surgeons of the United States members

Personal account.

• Sign in with email/username & password
• Get email alerts
• Save searches
• Purchase content
• Activate your purchase/trial code
• Add your ORCID iD

Institutional access

Sign in with a library card.

• Sign in with username/password
• Recommend to your librarian
• Institutional account management
• Get help with access

Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:

IP based access

Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.

Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.

• Click Sign in through your institution.
• Select your institution from the list provided, which will take you to your institution's website to sign in.
• When on the institution site, please use the credentials provided by your institution. Do not use an Oxford Academic personal account.
• Following successful sign in, you will be returned to Oxford Academic.

If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.

Enter your library card number to sign in. If you cannot sign in, please contact your librarian.

Society Members

Society member access to a journal is achieved in one of the following ways:

Sign in through society site

Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:

• Click Sign in through society site.
• When on the society site, please use the credentials provided by that society. Do not use an Oxford Academic personal account.

If you do not have a society account or have forgotten your username or password, please contact your society.

Sign in using a personal account

Some societies use Oxford Academic personal accounts to provide access to their members. See below.

A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.

Some societies use Oxford Academic personal accounts to provide access to their members.

Viewing your signed in accounts

Click the account icon in the top right to:

• View your signed in personal account and access account management features.
• View the institutional accounts that are providing access.

Signed in but can't access content

Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.

For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.

Short-term Access

To purchase short-term access, please sign in to your personal account above.

Don't already have a personal account? Register

Email alerts

Citing articles via, looking for your next opportunity.

• Recommend to Your Librarian

Affiliations

• Online ISSN 1930-613X
• Print ISSN 0026-4075
• Copyright © 2024 The Society of Federal Health Professionals
• About Oxford Academic
• Publish journals with us
• University press partners
• What we publish
• New features  
• Open access
• Rights and permissions
• Accessibility
• Advertising
• Media enquiries
• Oxford University Press
• Oxford Languages
• University of Oxford

Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide

• Copyright © 2024 Oxford University Press
• Cookie settings
• Cookie policy
• Privacy policy
• Legal notice

This Feature Is Available To Subscribers Only

Sign In or Create an Account

This PDF is available to Subscribers Only

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

To read this content please select one of the options below:

Please note you do not have access to teaching notes, tqm implementation issues: review and case study.

International Journal of Operations & Production Management

ISSN : 0144-3577

Article publication date: 1 June 2000

TQM is a philosophy mainly dominated by large companies. Small businesses are lagging behind larger ones when it comes to introducing and adopting new managerial philosophies and advanced technology. Many small companies have stopped at quality system certification, such as ISO 9000, in their quality journey rather than pursuing further continuous improvement efforts through TQM. Small businesses must understand the need to go beyond the quality system stage and work towards a total approach for quality. Only through this total approach will their quality effort be a success. Discusses the various issues confronting small businesses when embarking on TQM. First, reviews the subject of TQM and the quality initiatives undertaken by small businesses (which are treated as small‐ to medium‐sized enterprises (SMEs)) such as ISO 9000 and TQM. The small business characteristics are also examined. Second, presents a case study conducted in a small manufacturing company. Culminates with conclusions and discussions drawn from both the review and the case study with suggestions for future research directions.

• Implementation
• Small‐ to medium‐sized enterprises
• Case studies
• Supply‐chain management

Yusof, S.M. and Aspinwall, E. (2000), "TQM implementation issues: review and case study", International Journal of Operations & Production Management , Vol. 20 No. 6, pp. 634-655. https://doi.org/10.1108/01443570010321595

Copyright © 2000, MCB UP Limited

Related articles

All feedback is valuable.

Please share your general feedback

Report an issue or find answers to frequently asked questions

Contact Customer Support

•  Sign into My Research
•  Create My Research Account
• Company Website
• Our Products
• About Dissertations
• Español (España)
• Support Center

Select language

• Bahasa Indonesia
• Português (Brasil)
• Português (Portugal)

Welcome to My Research!

You may have access to the free features available through My Research. You can save searches, save documents, create alerts and more. Please log in through your library or institution to check if you have access.

Translate this article into 20 different languages!

If you log in through your library or institution you might have access to this article in multiple languages.

Get access to 20+ different citations styles

Styles include MLA, APA, Chicago and many more. This feature may be available for free if you log in through your library or institution.

Looking for a PDF of this document?

You may have access to it for free by logging in through your library or institution.

Want to save this document?

You may have access to different export options including Google Drive and Microsoft OneDrive and citation management tools like RefWorks and EasyBib. Try logging in through your library or institution to get access to these tools.

• Document 1 of 1
• More like this
• Scholarly Journal

Implementation of total quality management Case study: British Airways

No items selected.

Please select one or more items.

Select results items first to use the cite, email, save, and export options

Abstract: Total Quality Management (TQM) has an important role in any company, since the implementation of this program companies can continuously improve their performance. Thus, organizations will be able to considerably meet their internal and external clients' needs in terms of services and products quality, and they will also be able to develop an efficient and profitable business. The paper analyzes how this concept was implemented by the British Airways airline, since it is among the first companies that have implemented such a program.

Key-words: quality, management system, services, products, efficiency.

1. Introduction

The methods to ensure the quality of products and services have evolved continuously in accordance with the rapid technological and socio-cultural changes, that have marked the evolution of society, especially in this century. (Baltescu, C.A., Boscor, D., 2014, 65)

Also, in the European Union, the consumer protection policy should be regarded as a horizontal policy aimed to promoting consumer interests. In addition, this policy has significant effects on other EU policies such as: Common Agricultural Policy, environment, transport and energy policy which include rules regarding consumer rights. (Neacsu N.A. 2011, 52)

These requirements taken into account, integrated quality assurance concepts have been implemented since the 80s. The starting point of these strategies was the "new philosophy" defined by Feigenbaum: Total Quality Control.

Of these, particular interest is the concept of total quality managemt used in parallel, or in relation to the "total quality."

In the definition of total quality management (TQM) more guidelines can be highlighted.

a) The vast majority of authors agree that TQM is, above all, a new philosophy, a new model of enterprise culture, with the aim to orient towards customers all its activities and processes and optimize them so that they could bring long-term benefits.

According to Drummond (Drummond, H 1992, 13), for example, TQM is a business philosophy based on customer satisfaction through quality orientation of the entire organization.

Koller (Koller, J., K 1995) defines TQM as representing a systematic way of managing an organization's results. TQM involves new management strategies, changes in culture and infrastructure, tools and techniques to determine all members of the organization to collaborate and enable continuous improvement of quality defined by the client.

b) A number of authors point out, defining TQM, besides its philosophical dimension, the technical and social aspects that are involved in this philosophy.

In Oess's opinion (Strauss, B. 1994, 202), for example, TQM must be approached as a two-component system, including a technical and a social subsystem of inter-relationships being established between them.

c) According to another orientation (Kélada, J. 1990, 36-37), TQM is a three-dimensional concept, a management philosophy based on a certain logic that involves the use of specific methods and techniques, resulting its third dimension, the technical one.

In essence, TQM is a philosophy of business management dealing with getting continuous improvement of customer satisfaction through quality management products and services, led in the entire company. TQM is a new approach to corporate management by applying total quality ideas across the organization.

The advantages of implementing TQM are:

- Improving the company's reputation - faults and problems are identified quickly (the "zero defects");

- Significant improvement in quality of products or services;

- Customer satisfaction increase, which leads to additional sales;

- A significant decrease of resources waste;

- Increased productivity because the staff use the time more efficiently;

- Increasing the market share on the long term;

-The workforce is motivated by additional responsibilities, teamwork and involvement in decision-making on TQM;

- Lower costs;

- Focus on continuous improvement.

2. British Airways overview

British Airways is the national airline of the United Kingdom, the operational headquarter being based in Waterside. The airline is a founding member of the Oneworld alliance with American Airlines, Cathay Pacific and Qantas. British Airways is one of seven airlines that fly to all six inhabited continents.

British Airways carry passengers, cargo and letters from Heathrow, Gatwick and London City airports. It has expanded its network in more than 500 destinations through joint business agreements with American Airlines and Oneworld alliance members. The carrier manages a fleet of over 240 aircrafts, consisting primarily of Airbus and Boeing. In 2013, British Airways has taken delivery of its first of 42 Boeing 787s, with the first of its 12 Airbus A380s due to touch down in the UK July 4. British Airways is the largest Boeing 747-400 operator in the world. (Low Teacher)

In 2010 British Airways and Iberia have merged and created International Airlines Group.(Slideshare, 2013)

To survive both short-term and long-term on global market, where there is fierce competition between airlines, British Airways had to focus on a variety of goals and objectives.

In this respect, the general objectives of the company are divided into three categories: (UK Essays)

Global - for all passengers - whether they are traveling just for pleasure or on business.

Premium - ensure that passengers receive the highest quality services.

Air - focuses on aviation; owning the best equipment, products and services. Also, British Airways is considering four strategic objectives:

First airline customers top choices - to remain the first choice when it comes to premium international flights, cargo, economy or short flights.

Quality service - to provide the best service to passengers on all routes and in all classes of aircrafts during flight and to improve online services.

Global expansion - to continue to expand its list of destinations, through partnerships with other airlines.

Satisfying customer needs - to explore the latest features and products to enhance customer loyalty.

The main competitors of British Airways are:

1. Deutsche Lufthansa AG - Air Ambassador of Germany, Lufthansa offers flights to 209 destinations in 81 countries worldwide. (Bilete-avion). It manages a fleet of over 300 aircraftsfor passengers.(eSKY) It is also a market leader in international air transport through Lufthansa Cargo. Other major segments of the group are the maintenance, repair and overhaul by Lufthansa Technik services, air catering services by LSG Sky Chefs, and IT services through Lufthansa Systems. (Tourismguide) Lufthansa is a founding member and leader of the Star Alliance, the largest alliance of airlines.

2. Continental Airlines, Inc.-Continental Airlines is the world's fifth largest airline. Continental, together with Continental Express and Continental Connection, has more than 2,600 daily departures throughout the Americas, Europe and Asia, serving 132 domestic and 137 international destinations. Continental is a member of Star Alliance. (Makemytrip, 2015)

3. United Air Lines, Inc. - A leading passenger and cargo airline, United serves more than 230 destinations in some 30 countries. The airline, which also offers regional services via subsidiary United Express, operates a fleet of some 700 mainland aircraft. In addition, it leads the Star Alliance, a marketing and code-sharing group that includes Continental and Lufthansa. (Hoovers, 2015)

3. Implementation of total quality management at British Airways

In order to practice TQM, the main focus was on the British Airways transformation from an engineering based company in one dictated by the market. There are four key factors that contributed to the success of the company, namely:

1. Continuous reduction of costs;

2. Focus on providing excellent customer service at a premium price;

3. Cover growing market through alliances and partnerships;

4. Maximize return on individual flights by investing in computerized reservations. (Law Teacher)

In 1987, the year when the company was privatized, the company management believed that to be the best and to be a world-class organization, they have to use the strategies and processes that should create vision and inspire the employees to gain their trust. This could only be possible by implementing TQM program. It was implemented in British Airways' Technical Workshops. The Technical Workshops (hangars) of British Airways are responsible for the overhaul and the repair of aircraft components.

In order to be the best in this industry, the management team of British Airways Technical Workshops decided that they must win through teamwork, customer satisfaction, profitability and reputation.

Along the "path" to implement TQM, there were identified the following key steps:

1. Conducting a study to diagnose the current position within the technical workshop and reporting results;

2. Obtaining support and a full commitment to TQM concept from all levels of management;

3. Educating staff according to the principles of TQM and facilitate necessary changes in management style;

4. Changes in policies, procedures and work practices that would fit and would facilitate new organizational culture required;

5. Starting the quality improvement process;

6. Reviewing progress made and fostering a sustained commitment from all levels of the organization.

In order to examine the controversial issues and problems facing the staff, a survey was distributed among employees from technical workshops, among customers and in supplying areas. To do this, an analysis of the cost of quality was made.

The approach taken by the company in collecting quality costs was the breakdown of employees activities related to quality in three main activities, namely:

1. Anticipation - activities that provide performance "right first time";

2. Assessment -activities that check if the concept of "right first time" is done;

3. Failure - activities resulting from the failure of the concept "right first time".

Each manager or team leader was asked to make an assessment of how their subordinate staff spent time during activities related to quality. Knowing how to bear the cost of quality has had a significant contribution in educating staff on the concept and principles of TQM. It also helped of strengthening and justification of need for training personnel in accordance with TQM, to overcome any skepticism about TQM, to promote considerable debate on this issue and to ensure that the improvement of individual projects activity can be measured. (Rawlins A. R. 2008)

Data collected from the survey was introduced in a diagnostic report and seven improvement activities have been identified:

1. The way the employees view the company's management;

2. Managerial style;

3. Implementation of changes;

4. Communication;

5. Systems and procedures;

6. Facilities and conditions;

7. Attitude of employees.

They held some courses for managers for three days. These courses have conceptually explained TQM philosophy and revealed findings of the report. Managers were encouraged to submit ideas and action plans for staff involvement in improvement process. This required some changes in managing style.

Similar courses were held for all employees. Delegates of each course were taken from different areas of workshops to facilitate the exchange of ideas between departments. Quality improving groups, each involving up to 12 people, actively conducted projects for improvement.

Examples of projects: improved methods for sorting aircraft test equipment to ensure ease localization and certification control, an improved library for storing approved technical publications and a design of new measures regarding the workshop performance, so that the figures which provide performance to be meaningful and easy to understand.

British Airways Technical Workshops are recognized as the best in the aviation industry, by customers, competitors and even by British Airways itself. Benefits began to appear Two years after the launch of TQM. There have been positive changes in measures of higher level, which were used to report progress to the directorate. These measures included the proportion of components which are in good condition, the number of units that are not in good condition in the workshop and the number of units produced per month. British Airways launched their TQM program in September 1988 and by the end of 1999 the benefits of the program were visible. (Law Teacher)

It is important to note that after implementation of TQM, British Airways continued to apply total quality management on employees, the processes and customers, and the result was successful, as shown in Table 1: turnover increased by 23%, the number of employees fell by 3.153 people, increased the number of passengers who used the company's services, passenger load factor increased from 79.1% to 81.3% and aircraft fleet has grown to 33 aircraft. Although profit has declined and losses were recorded in the period 2008 - early 2010, after this date there is an important increase of this indicator.

4. Conclusions

British Airways, founded in 1935, which is the subject of the case study, is the national airline of the United Kingdom of Great Britain, founding member of the Oneworld Alliance and one of the seven airlines that fly to all six inhabited continents.

The carrier manages a fleet of over 240 aircraft, consisting primarily of Airbus and Boeing.

Total Quality Management was implemented by British Airways in September 1988 from the technical workshops in the desire to improve and contribute to the success of the organization.

TQM program was characterized by customer focus, full participation, process improvement and process management and planning. TQM implementation process was a very long-term procedure.

Thus, in only two years of program implementation, benefits began to appear (e.g. positive changes took place in the top-level measures).

The company also had to experience many changes made on TQM program requirements and extensive market research that identified customer expectations for the standards to be served by an international airline known as British Airways.

5. References

Baltescu, Codruta Adina, and Dana Boscor. 2014. "The Assessment of Hotel Services in Poiana Brasov Resort". Bulletin of the Transilvania University of Brasov, Series V, Vol. 7(56), 17-22.

Drummond, H. 1992. The Quality Movement. What Total Quality Management is Really All about! London: Kogan Page.

Kélada, Joseph. 1990. La gestion intégrale de la qualité. Pour une qualité totale. Québec: Edition Quafec.

Koller, J. K. 1995. Total Quality Management in Service Industry, European Masters Programme in Total Quality Management. Germany: University of Kaiserslautern.

Neacsu, Nicoleta Andreea. 2011. Protectia Consumatorului (Consummer Protection). Brasov: Transilvania University Publishing House.

Rawlins, Ashley R. 2008. Total Quality Management (TQM). Author Publishing House.

Strauss, B. 1994. Qualitätsmanagement und Zertifizierung. Von DIN ISO 9000 zum Total Quality Management. Wiesbaden: Gabler Verlang.

British Airways should focus on their quality standards http://www.lawteacher.net/free-law-essays/business-law/british-airways-should-focus-on-their-quality-standards-business-law-essay.php#ixzz3VbvNLWht. Accessed on: 6.03.ora 19.38

Strategic management in services organizations. Available at: http://www.slideshare.net/ilyasbouhad/case-study-british-airways. Accessed on: Accessed on: 6.03.ora 19.33

British airways. Available at: http://www.ukessays.com/essays/aviation/british-airways.php. Accessed on: 6.03.ora 19.40

Information about Lufthansa. Available at: http://www.bilete-avioane.ro/bilete_avion_companie_lufthansa.html. Accessed on: 6.03.ora 19.30

About Lufthansa. Available at: http://www.tourismguide.ro/x/lufthansa/. Accessed on: 6.03.ora 19.35

Airline Lufthansa. Available at: http://www.esky.ro/companii-aeriene/Lufthansa. Accessed on: 6.03.ora 19.46

Continental Airlines. Available at: http://us.makemytrip.com/flights/continental-airlines-co.html. Accessed on: 6.03.ora 19.49

United Airlines Inc .Company Information. Available at: http://www.hoovers.com/company-information/cs/company-profile.United_Air_Lines_Inc.5ea6fd1816caf8ab.html. Accessed on: 6.03.ora 19.52

British Airways. Available at: http://en.wikipedia.org/wiki/British_Airways. Accessed on: 6.03.ora 19.55

Anca MADAR1

1 Transilvania University of Bras ov, [email protected]

You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer

Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer

Copyright Transilvania University of Brasov 2015

Total Quality Management (TQM) has an important role in any company, since the implementation of this program companies can continuously improve their performance. Thus, organizations will be able to considerably meet their internal and external clients' needs in terms of services and products quality, and they will also be able to develop an efficient and profitable business. The paper analyzes how this concept was implemented by the British Airways airline, since it is among the first companies that have implemented such a program.

Suggested sources

• About ProQuest
• Terms of Use
• Privacy Policy
• Cookie Policy