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Reinvigorating stalled CQI efforts through physician involvement.
Physician Exec. 1993 Jul-Aug; 19(4):32-6.PE

Abstract

Continuous quality improvement (CQI), loosely synonymous with total quality management (TQM), was designed for the comparatively simple world of industry. Now that the gurus of CQI have attempted--originally with full support of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)--to apply the industrial CQI model to hospitals, they've noticed something: The model doesn't work, and hospital CQI programs are faltering enough to persuade the Joint Commission to scale back its CQI accreditation requirements. One major shortcoming behind the performance to date of CQI in hospitals: Physicians don't fit into the industrial model of CQI. Physicians are too important, and too many programs are stalled, to continue to implement CQI as though physicians don't exist. The techniques described here should help to reinvigorate faltering programs, giving hospital management a chance to "do it right the second time."

Authors+Show Affiliations

Peer Review Analysis, Boston, MA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10127411

Citation

Lewis, A. "Reinvigorating Stalled CQI Efforts Through Physician Involvement." Physician Executive, vol. 19, no. 4, 1993, pp. 32-6.
Lewis A. Reinvigorating stalled CQI efforts through physician involvement. Physician Exec. 1993;19(4):32-6.
Lewis, A. (1993). Reinvigorating stalled CQI efforts through physician involvement. Physician Executive, 19(4), 32-6.
Lewis A. Reinvigorating Stalled CQI Efforts Through Physician Involvement. Physician Exec. 1993 Jul-Aug;19(4):32-6. PubMed PMID: 10127411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reinvigorating stalled CQI efforts through physician involvement. A1 - Lewis,A, PY - 1993/6/7/pubmed PY - 1993/6/7/medline PY - 1993/6/7/entrez SP - 32 EP - 6 JF - Physician executive JO - Physician Exec VL - 19 IS - 4 N2 - Continuous quality improvement (CQI), loosely synonymous with total quality management (TQM), was designed for the comparatively simple world of industry. Now that the gurus of CQI have attempted--originally with full support of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)--to apply the industrial CQI model to hospitals, they've noticed something: The model doesn't work, and hospital CQI programs are faltering enough to persuade the Joint Commission to scale back its CQI accreditation requirements. One major shortcoming behind the performance to date of CQI in hospitals: Physicians don't fit into the industrial model of CQI. Physicians are too important, and too many programs are stalled, to continue to implement CQI as though physicians don't exist. The techniques described here should help to reinvigorate faltering programs, giving hospital management a chance to "do it right the second time." SN - 0898-2759 UR - https://www.unboundmedicine.com/medline/citation/10127411/Reinvigorating_stalled_CQI_efforts_through_physician_involvement_ DB - PRIME DP - Unbound Medicine ER -