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Total Quality Management: Administrative and Clinical Applications in Nursing Homes
Author(s) -
Schnelle John F.,
Ouslander Joseph G.,
Osterweil Dan,
Blumenihal Sheldon
Publication year - 1993
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1993.tb07312.x
Subject(s) - medicine , nursing , nursing homes , quality (philosophy) , quality management , operations management , management system , philosophy , epistemology , economics
Objective : Describe the application of the Total Quality Management (TQM) model to the unique work force, resident population, and regulatory issues that characterize long term care settings. Design : The key differences between TQM and current management and training practices in nursing homes are described. A specific data‐based example is provided of a successful TQM application to health care involving clinical work processes related to incontinence care. Conclusion : Significant organizational and clinical obstacles must be overcome if TQM is to improve the quality of life and satisfaction of nursing home residents and their families as it has improved the efficiency and product quality in hospital and non‐health‐care settings.