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The implementation of quality management systems enables health care organizations to define and manage processes that ensure delivery of services that meet customer needs and expectations.
Sohal et al. [33] p.267) suggest that: "the effective implementation of quality management practices leads to improvements in organisational performance in terms of increased productivity and profits".
Firms need to provide training to staff members and designate a quality representative to coordinate the implementation of quality management systems.
However, some organizations treat quality management as a routine exercise and pay little attention to the implementation of quality management systems.
To identify the problems and facilitating factors in the implementation of quality management system (QMS) in hospitals through a systematic review.
However, it is expected that the fully integrated implementation of quality management will take many years.
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The RA is aimed for facilitating design of quality management aspects into implementation architectures of big data systems.
The implementation of surgical services will occur within the framework of quality management using Plan-Do-Study-Act (PDSA) and Root Cause Analysis (RCA) models.
Its modular design and feasible procedure allow for a flexible implementation of the survey instrument which meets various requirements of quality management.
The adapted QMSI is a seven-subscale survey which provides a proxy measure for the managerial aspects of quality management that might influence the implementation of quality systems in hospitals.
In further studies, it would be interesting to investigate the implementation of quality systems and relate these processes to departments' history of quality management and overall organisational structure of hospitals.
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