e-track200 scientists and specialists, including Dr. Deming, from management or denied, and thus being allowedto Japan to help rebuild <strong>the</strong> country. While working to blossom into larger less easily rectified problems,on <strong>the</strong> Japanese census, Dr. Deming was invited by <strong>the</strong>y are tolerated and employees are encouraged to<strong>the</strong> Japanese Union <strong>of</strong> Scientists and Engineers to try again. Employees begin to develop agive lectures on his statistical quality techniques. commitment to <strong>the</strong> organization ra<strong>the</strong>r than lookingOne <strong>of</strong> <strong>the</strong> attendees was a past pr<strong>of</strong>essor to many <strong>of</strong> at it as just <strong>the</strong>ir employer. When employees feelJapan's CEOs. After attending <strong>the</strong> lectures, <strong>the</strong> <strong>the</strong>y are an integral part <strong>of</strong> <strong>the</strong> organization, <strong>the</strong>y feelpr<strong>of</strong>essor told his CEO students that, if <strong>the</strong>y wanted needed and enjoy work more, which may fur<strong>the</strong>rto turn Japan's economy around in five years, <strong>the</strong>y increase service quality.should attend Dr. Deming's lectures on using 1.3.4 Disadvantages <strong>of</strong> TQMstatisticsto achieve quality at a reduced cost. Many Some Total Quality Management detractors<strong>of</strong> <strong>the</strong> CEOs took <strong>the</strong> pr<strong>of</strong>essor's advice and attended have noted that long-range plans advocated by TQM<strong>the</strong> lectures.may limit an organization's flexibility and agility.1.3.3 Advantages <strong>of</strong> TQM-TQM teaches that a long-term plan is required toShort-term and long-term advantages are achieve a complete quality trans<strong>for</strong>mation, but apresent in any management style. Total Quality long-term plan that has been pursued <strong>for</strong> a longManagement has few short-term advantages. Most period may become an end unto itself. Completion <strong>of</strong><strong>of</strong> its benefits are long-term and come into effect <strong>the</strong> plan becomes <strong>the</strong> ultimate goal. Objectives <strong>the</strong>only after it is running smoothly. In large plan was designed to accomplish are <strong>for</strong>gotten;organizations, it may take several years be<strong>for</strong>e long- achieving <strong>the</strong> trans<strong>for</strong>mation becomes <strong>the</strong> mostterm benefits are realized.Long-term benefits that important objective. Instead <strong>of</strong> maintainingmay be expected from Total Quality Management continuous change, <strong>the</strong> organization may reach aare higher productivity, increased morale, reduced stable point and stagnate. To produce continuouslycosts, and greater customer commitment. These high quality services, an organization must reactbenefits may lead to greater public support and quickly to changes in <strong>the</strong> community and not beimprovement <strong>of</strong> an organization's public image. restricted by its management style.Eliminating errors and doing things right <strong>the</strong> firsttime saves time and resources. The savings may <strong>the</strong>nbe used <strong>for</strong> expansion <strong>of</strong> services or made available1.3.5 Adopt a TQM framework <strong>for</strong> qualitymanagementTotal Quality Management, or TQM, has beento employees in <strong>the</strong>ir ef<strong>for</strong>ts to increase service implemented in many healthcare organizationsquality.during <strong>the</strong> last decade. The teachings <strong>of</strong> industrialTotal Quality Management may create an quality gurus, such as Deming and Juran, haveorganizational atmosphere <strong>of</strong> excitement and sense established new principles and processes <strong>for</strong><strong>of</strong> accomplishment through <strong>the</strong> rewarding <strong>of</strong> managing quality. Personally, I have found thatcreativity. When experimentation-oriented failures Deming provides <strong>the</strong> principles <strong>for</strong> what needs to beare accepted as a part <strong>of</strong> <strong>the</strong> learning process, done and that Juran describes <strong>the</strong> methodologies oremployees feel free to use <strong>the</strong>ir creative energies to processes <strong>for</strong> getting it done.develop new ideas.Instead <strong>of</strong> mistakes being hiddenJanuary-March201118
e-trackbear on <strong>the</strong> achievement and satisfaction <strong>of</strong>customer needs. Characteristics such asturnaround time, patient preparation,specimen acquisition, etc., are monitoredthrough QA activities. Pr<strong>of</strong>iciency testingprovides an external or outside measure <strong>of</strong>analytical per<strong>for</strong>mance.Quality Improvement (QI) is aimed atdetermining <strong>the</strong> causes or sources <strong>of</strong> problemsFigure-3identified by QC and QA. The causes <strong>of</strong> someJuran's quality triology is particularly problems can be determined by individualimportant because it identifies quality planning as an analysts. O<strong>the</strong>r problems may require a teamintegral component <strong>of</strong> TQM . We have illustrated <strong>of</strong> people and a team problem-solving processhow quality planning can be integrated with o<strong>the</strong>r and team problem-solving tools (such as <strong>the</strong>quality management functions using <strong>the</strong> model flowchart, Pareto diagram, Ishikawa causeshown in <strong>the</strong> accompanying figure [3]. This TQM and effect diagram, <strong>for</strong>ce field analysis, etc) .framework involves quality laboratory processes, Quality Planning (QP) is concerned withquality control, quality assessment, quality establishing and validating processes thatimprovement, quality planning, and quality goals. meet customer needs. The selection andQuality Laboratory Processes (QLP) refers evaluation <strong>of</strong> new methods and instrumentsto <strong>the</strong> policies, procedures, personnel fits here, as well as selection and design <strong>of</strong> QCstandards, and physical resources that procedures.determine how work gets done in <strong>the</strong> Quality Goals represent <strong>the</strong> requirements thatlaboratory. Laboratory method manuals must be achieved to satisfy <strong>the</strong> needs <strong>of</strong>describe <strong>the</strong> standard operating processes <strong>for</strong> customers. For analytical quality, <strong>the</strong>producing test results.requirement is to provide test results that areQuality Control (QC) refers to procedures <strong>for</strong> correct within stated limits.monitoring <strong>the</strong> work processes, detectingproblems, and making corrections prior to1.3.6 Learn <strong>the</strong> principles <strong>of</strong> quality planningfrom industrydelivery <strong>of</strong> products or services. Statistical Industry has learned that to guarantee quality itprocess control, or statistical quality control, is necessary to specify what per<strong>for</strong>mance is requiredis <strong>the</strong> major procedure <strong>for</strong> monitoring <strong>the</strong> and how to know if that per<strong>for</strong>mance is achieved. Ananalytical per<strong>for</strong>mance <strong>of</strong> laboratory operational definition is needed to tell people what tomethods.do and how to know if <strong>the</strong>y're doing it right. ForQuality Assessment (QA) refers to <strong>the</strong> example, "answer <strong>the</strong> telephone within threebroader monitoring <strong>of</strong> o<strong>the</strong>r dimensions or rings" tells a person what to do and how to know ifcharacteristics <strong>of</strong> quality. Quality involves <strong>the</strong> <strong>the</strong>y're achieving <strong>the</strong> desired per<strong>for</strong>mance. Thetotality <strong>of</strong> features and characteristics that important message here is that bench level19January-March2011