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Hosp Health Serv Adm. 1995 Spring;40(1):4-24.

Assessing the evidence on CQI: is the glass half empty or half full?

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J.L. Kellogg Graduate School of Management, Northwestern University, Evanston, IL 60208, USA.


Review of the literature on CQI/TQM in both health care and non-health care settings reveals some evidence of a positive impact for selected dimensions of CQI/TQM. There is little research, however, that examines CQI/TQM as a holistic integrated approach to quality improvement, nor are there many studies that go beyond single or small sample case studies. Using a conceptual framework involving cultural, technical, strategic, and structural dimensions, a number of barriers to CQI implementation are identified along with suggestions for high-priority areas of research.

[Indexed for MEDLINE]

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