n. Procedures for precise testing in conjunction with sampling procedures is required.
4. Organizations should end the practice of awarding business on the basis of price tag alone. Instead, organizations should minimize total cost by working with a single supplier. This point is not a part of TQM, although many organizations employing TQM also observe this practice. The concept has relevance for the health care environment; however, competitive bidding requirements might cause the concept to be inappropriate for some publicly-operated health care institutions.
5. Organizations should improve constantly and forever every process for planning, production, and service. This point ties TQM directly with CQI. The concept is appropriate for the health care environment, particularly so for hospitals organizations (Siwicki, 1992, p. 105).
6. Organizations should institute training on the job; training that is directed toward the production of products of super
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