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

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


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.

Publication types

  • Review

MeSH terms

  • Evaluation Studies as Topic
  • Health Services Research*
  • Hospital Administration / standards
  • Industry / standards
  • Models, Organizational
  • Organizational Culture
  • Total Quality Management*
  • United States