Quality improvement teams that stall due to poor project selection: an exploration of contributing factors

被引:11
|
作者
Bacdayan, P [1 ]
机构
[1] Univ Massachusetts, Charlton Coll Business, Dartmouth, MA 02747 USA
来源
TOTAL QUALITY MANAGEMENT | 2001年 / 12卷 / 05期
关键词
D O I
10.1080/09544120120060079
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
A corporate culture that supports Total Quality Management (TQM) may take years to build, and sceptics will abound in the early years of an organization's TQM campaign. Organizations that use quality improvement teams (QITs) may suffer damage to the quality initiative when the early teams stall or fail altogether. Teams that stall may convince the sceptics to withhold their support from TQM, thus reducing the momentum of TQM adoption. Stalled teams often result from an inappropriate initial choice of a project. In order to explore the contributing factors in poor project selection, this study collected critical incidents of QITs that stalled because of a poorly chosen project. Analysis of the incidents yields two main categories of factors. The first category is errors of problem definition, including failure to select a process-based problem and failure to identify a project of significant yet manageable scope. The second category is errors in judgement, including failure to identify potential pitfalls and failure to respond to known pitfalls. Illustrative examples of risky projects are presented throughout. This study can benefit those with an interest in selecting viable quality improvement projects, particularly in the early phases of TQM adoption.
引用
收藏
页码:589 / 598
页数:10
相关论文
共 50 条
  • [21] Contextual factors that influence quality improvement implementation in primary care: The role of organizations, teams, and individuals
    Shea, Christopher M.
    Turner, Kea
    Albritton, Jordan
    Reiter, Kristin L.
    HEALTH CARE MANAGEMENT REVIEW, 2018, 43 (03) : 261 - 269
  • [22] Airway adjunct Selection and Use in Trauma: A Trauma Quality Improvement Project (TQIP) Analysis
    Le, David
    Schauer, Steven
    Douin, David
    Winkle, Julie
    April, Michael
    ANESTHESIA AND ANALGESIA, 2024, 139 (05): : 6 - 6
  • [23] Selection of an Appropriate Helicobacter Pylori Eradication Regimen in an Urban Population: A Quality Improvement Project
    Aamar, Ali
    Ramai, Daryl
    Tsipotis, Evangelos
    Madedor, Ogenetega J.
    Brooks, Olivia W.
    Reddy, Madhavi
    GASTROENTEROLOGY, 2020, 159 (02) : E29 - E29
  • [24] Impact of worklist selection on point-of-care ultrasound workflow - a quality improvement project
    Rowland, Jonathan
    Baker, Jessa
    Dunn, Natassia
    Whited, Matthew
    Saadat, Soheil
    Fox, J. Christian
    BMC HEALTH SERVICES RESEARCH, 2025, 25 (01)
  • [25] Human factors training to improve safety culture in maternity: A quality improvement project
    Ansari, S.
    Rayfield, M.
    Prosser-Snelling, E.
    BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2018, 125 : 42 - 43
  • [26] In-depth comparison of two quality improvement collaboratives from different healthcare areas based on registry data-possible factors contributing to sustained improvement in outcomes beyond the project time
    Alguren, Beatrix
    Nordin, Annika
    Andersson-Gare, Boel
    Peterson, Anette
    IMPLEMENTATION SCIENCE, 2019, 14 (1)
  • [27] What factors do make quality improvement work in primary health care? Experiences of maternal health quality improvement teams in three Puskesmas in Indonesia
    Limato, Ralalicia
    Tumbelaka, Patricia
    Ahmed, Rukhsana
    Nasir, Sudirman
    Syafruddin, Din
    Ormel, Hermen
    Kumar, Meghan Bruce
    Taegtmeyer, Miriam
    Kok, Maryse
    PLOS ONE, 2019, 14 (12):
  • [28] Reducing trauma theatre list delays through improved communication between orthopaedic teams and radiographers: A quality improvement project
    Anazor, Fitzgerald
    Ekungba-Adewole, Mutmainah
    Dhinsa, Baljinder
    Mohammed, Omar
    JOURNAL OF PERIOPERATIVE PRACTICE, 2024, 34 (03) : 78 - 83
  • [29] 1 Modifiable cardiovascular risk factors in young transgender people: a quality improvement project
    Lim, Matthew W. S.
    Wallach, Peri
    Lucas-Herald, Angela K.
    Connelly, Paul J.
    Delles, Christian
    Mason, Avril
    HEART, 2023, 109 (SUPPL_2) : A1 - A1
  • [30] Project JOINTS: What factors affect bundle adoption in a voluntary quality improvement campaign?
    Khodyakov, Dmitry
    Ridgely, M. Susan
    Huang, Christina
    DeBartolo, Katherine O.
    Sorbero, Melony E.
    Schneider, Eric C.
    BMJ QUALITY & SAFETY, 2015, 24 (01) : 38 - 47