Total quality management (TQM) and continuous quality improvement (CQI) have not had the expected results in healhtcare. Much effort and resources and enthusiasm has been spent. Some have said the TQM and CQI don't work in healhtcare.

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10:58:41 PM     comment []   Google It!  

Lynne, I read your post of Jan. 27 with much interest. Teamwork is going to be key to improving the healthcare system and the work lives of healthcare providers. Nurses and doctors are not alone in the increasing isolation that has accompanied the accelerated pace and the heightened pressure to be accountable for costs globally. A book has been written by Robert D. Putnam, titled Bowing Alone. Follow this link for more information. http://www.bowlingalone.com/ 

I think this issue of teams and "community" are key to any useful improvement in our work and our lives.

6:28:13 PM     comment []   Google It!