administration from a theoretical as well as a practical perspective is the quality movement. Edwards, Austin, and Altpeter (1998) pointed out that accreditation and commissioning or licensure agencies have emphasized quality as the key set of standards against which all health care institutions will be measured. The quality movement is augmented by a theory of management, which emphasizes the role played by training and development, rigorous performance standards, the use of protocols to assess all aspects of care, and clear, consistent documentation of activities. Subsumed within the quality paradigm shaping administrative and man
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