The Textbook of Total Quality in Healthcare: 1st Edition (Hardback) book cover

The Textbook of Total Quality in Healthcare

1st Edition

Edited by A. F. Al-Assaf, June Schmele

CRC Press

312 pages

Purchasing Options:$ = USD
Hardback: 9780963403049
pub: 1993-09-01

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Until now, no textbook on TQ has emerged that was written specifically for the healthcare industry. The Textbook of TQ in Healthcare is the first true text prepared by healthcare professionals for healthcare professionals. It provides a discussion of the tools, techniques and principles of TQ. Academic programs will find this text very useful for courses in TQ, quality management, general and strategic management and leadership.The Textbook is also an excellent reference for students and professionals in medicine, nursing, allied health services, pharmacy and healthcare administration.

The Textbook of TQ in Healthcare starts with an introduction and history of TQ and its movement from the manufacturing sector to the healthcare industry. Quality is then discussed as a major cornerstone of the healthcare delivery system. Principles, methods for implementation and the tools for assessing TQ progress are described. The Textbook concludes with a section on comparative analysis of TQ with other management philosophies. Also presented are a case study of a major healthcare facility that has actually implemented TQ and an excellent collection of articles that further expand the understanding of TQ.


"This is an excellent book for both health care professionals interested in total quality management and total quality managers interested in the health care system…the writing style flows smoothly from chapter to chapter, providing the reader with interesting information that is easy to read…a why-to and what-is necessary book…worthy of the reader's time."

Phil Rutsohn, Augusta College School of Business

"…a great addition to the shelves of any library."

reat addition to the shelves of any library."

Table of Contents


1. Introduction and Historical Background

The Early Days of Quality Assurance

History of TQ in Manufacturing

The Influence of Government on Quality in Healthcare

Quality Assurance Departments


2. The United States Healthcare System and Quality of Care

The First Two Hundred Fifty Years (1600-1850)

The Next Hundred Years (1850-1950)

1950 to the 1990s


3. Principles of Total Quality in Healthcare Organizations

Selected Articles:

Sounding Board: Continuous Improvement as an Ideal in Health Care

The Case for Using Industrial Quality Management Science in Health Care Organizations

Total Quality Management for Physicians: Translating the New Paradigm

Organizationwide Quality Improvement in Health Care

Articles Misconstrue Joint Commission's Position on Quality Improvement

A New Look for Quality in Home Care

4. The Implementation of Total Quality

Executive Level Commitment

Transformation of the Culture

Planning Quality

Organizing Quality

Evaluating Quality

Selected Article:

How to Start a Direct Patient Care Team

5. Data Management for Total Quality

Transformation of Data to Information

Data versus Information

Data Reliability

Data Validity

Sensitivity and Specificity

Data Collection, Display, and Analysis

Tools for Identifying, Collecting, and Displaying Data

Tools for Improving and Monitoring Quality


6. Cost and Healthcare Quality

Selected Article:

Accounting for the Cost of Quality

7. The Law, Ethics, and Total Quality

The Role of Laws and the Legal System

The Role of Ethics

The Interplay between Laws and Ethics

Legislative Impetus

Judicial Involvement in Determining Quality

Ethics and the Elevation of Quality

8. Total Quality and Management Philosophies

Organizational Cultures

The Use of Power in Organizations

TQ and Corporate Culture: Finding a Fit

Transforming Organizations to a TQ Philosophy and Culture

Managing the Process through Change


9. Integration of Total Quality and Quality Assurance

Quality Assurance Activities in Healthcare

Total Quality

Transition to Total Quality: Manufacturing and Health Service Sectors

Comparison of QA and TQ

Integration of QA and TQ

10. Outcome Management and TQ

Background of Quality Outcome

What is Outcome and What is Outcome Management?

Measurement of Outcomes

Questions about Outcome Measurements

Research on Outcome and Its Management

Outcomes Management and Total Quality

11. Research and Total Quality

Quality Management Terminology

Background and Definitions

Research-Based Practice

Social Science Research

Guidelines and Databases

Research on TQ

Instrumentation Research

Epidemiological Studies

Cost Studies

Demonstration Projects

Research Utilization

Research Agenda


12. Total Quality within the VA Healthcare System: A Case Study

Annotated Bibliography


Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Industries / Service Industries
MEDICAL / General
MEDICAL / Administration