Quality management has evolved over time from individual craftspeople controlling quality to modern total quality management approaches. In the early 1900s, foremen took responsibility for quality during mass production. Later, inspectors checked quality after production. In the 1950s-60s, experts like Deming and Juran influenced Japanese companies to emphasize statistical process control and quality circles. By the 1970s, total quality management involved all departments and employees in quality. Modern approaches utilize statistical software and focus on design, suppliers, and customer satisfaction.
Quality management has evolved over time from individual craftspeople controlling quality to modern total quality management approaches. In the early 1900s, foremen took responsibility for quality during mass production. Later, inspectors checked quality after production. In the 1950s-60s, experts like Deming and Juran influenced Japanese companies to emphasize statistical process control and quality circles. By the 1970s, total quality management involved all departments and employees in quality. Modern approaches utilize statistical software and focus on design, suppliers, and customer satisfaction.
Quality management has evolved over time from individual craftspeople controlling quality to modern total quality management approaches. In the early 1900s, foremen took responsibility for quality during mass production. Later, inspectors checked quality after production. In the 1950s-60s, experts like Deming and Juran influenced Japanese companies to emphasize statistical process control and quality circles. By the 1970s, total quality management involved all departments and employees in quality. Modern approaches utilize statistical software and focus on design, suppliers, and customer satisfaction.
Quality management has evolved over time from individual craftspeople controlling quality to modern total quality management approaches. In the early 1900s, foremen took responsibility for quality during mass production. Later, inspectors checked quality after production. In the 1950s-60s, experts like Deming and Juran influenced Japanese companies to emphasize statistical process control and quality circles. By the 1970s, total quality management involved all departments and employees in quality. Modern approaches utilize statistical software and focus on design, suppliers, and customer satisfaction.
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QUALITY
MANAGEMENT FOR HEALTH CARE DELIVERY Atta Aljazzar RN. BSN.MSN. Introduction to Quality Management
• Ifwe look at construction of
the pyramid, Greek ancient arts, crafts, and architectures, Roman-built cities, • it clearly demonstrates artists and engineers commitment for achieving the excellence in quality. • Until 1800, small group of individuals primarily did production of goods and services. • These small groups were often family businesses. • Thus, the standard of quality was controlled and set by individual who was in turn also responsible for producing the item. • From early 1900s to 1920, a second phase evolved, which called the ‘Foreman Quality Control’ period. • In this phase, the concept of mass production with little emphasis on personal accomplishment at work place was introduced. • Supervisors are responsible to ensuring that quality was achieved. • Foremen or supervisors controlled the quality of the product. • The period of 1920 to 1940 saw the next phase of quality. • This phase was so-called ‘Inspection Quality Control’. With more complicated products and processes it became impossible for to keep close watch over individual stages of operation. • Inspectors were assigned to check the quality of a product after processing. • Individual product standards were set and any discrepancies between standard and actual product features was reported. Defective items were set aside as scrap. • Japan after World War II, embraced the new philosophy wholeheartedly. • Edwards Deming was invited to Japan during 1950, and Japanese engineers were convinced about the importance of statistical quality control as a means to gaining competitive advantage in world economy. • Another quality guru, J. M. Juran, visited Japan in 1954 and further impressed upon the strategic role that management plays to achieve end quality. • Thus, they started to develop strong commitment to train and educate their employees on statistical process control. • The next phase of quality during 1960 is known as Total Quality Control. • An important feature during this phase was involvement of several departments and personnel in the quality development process. • Prior to this period, the attitude was quality is the responsibility of the inspection. • In 1960s, there was a change in this attitude. • Employees began to understand that each department within an organization has a contribution to build quality in an • Concept of zero defects, which encircle around achieving productivity through worker involvement, emerged during this period. • With more or less same underlying philosophy, quality circles were introduced in many Japanese industries. • The concept of quality circles is based on participative or team work style of management. • It believes that quality and productivity can be achieved through informal group discussion, decision, and pertinent action. • 1970 is the phase of ‘Total Quality Management’. This phase involved the participation of everyone in the organization, from the operator to supervisor, manager, and even the chief executive officer. Quality was responsibility of every individual. • During 1980s, various quality control and statistical software came into the market. • The notion of a total quality management increased the emphasis on supplier’s quality, product design, quality assurance. • In 1989, Motorola started the Six Sigma initiative, a quality philosophy driven by statistical approach for decision making, which within 10 years was sincerely adopted by various other companies. Defination of quality
• Quality’ can be defined as a standard
measure of how well a product or service conforms to the specified standards, so as to meet the customer requirements. • Quality has been defined by various quality gurus. • Juran defined quality as ‘fitness for use’ in 1974. • Crosby, in 1979, defined the quality as ‘conformance to requirements or specifications.’