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Cited by 61Healthcare Quality and ManagementManagement Systems and Quality ImprovementPatient Safety and Medication Errors

Applying Quality Improvement Principles to Achieve Healthy Work Organizations

Sainfort, François, Karsh, Ben-Tzion, Booske, Bridget C., Smith, Michael J.·2001·The Joint Commission Journal on Quality Improvement
DOI 10.1016/s1070-3241(01)27041-2
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Abstract

Background Health care has used total quality management (TQM)/quality improvement (QI) methods to improve quality of care and patient safety. Research on healthy work organizations (HWOs) shows that some of the same work organization factors that affect employee outcomes such as quality of life and safety can also affect organizational outcomes such as profits and performance. An HWO is an organization that has both financial success and a healthy workforce. For a health care organization to have financial success it must provide high-quality care with efficient use of scarce resources. To have a healthy workforce, the workplace must be safe, provide good ergonomic design, and provide working conditions that help to mitigate the stress of health care work. Integrating tqm/qi into the hwo paradigm If properly implemented and institutionalized, TQM/QI can serve as the mechanism by which to transform a health care organization into an HWO. To guide future research, a framework is proposed that links research on QI with research on HWOs in the belief that QI methods and interventions might be an effective means by which to create an HWO. Specific areas of research should focus on identifying the work organization, cultural, technological, and environmental factors that affect care processes; affect patient health, safety, and satisfaction; and indirectly affect patient health, safety, and satisfaction through their effects on staff and care process variables. Summary Integrating QI techniques within the paradigm of the HWO paradigm will make it possible to achieve greater improvements in the health of health care organizations and the populations they serve.

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  • A healthcare HWO would also provide high quality safe patient care.

    “A healthcare HWO would also provide high quality safe patient care.15”

    From Work system design for patient safety: the SEIPS model (2006) · cites this paper as [15]

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Authors
Sainfort, F., Karsh, B.-T., Booske, B. C., & Smith, M. J.
Affiliations
  • Georgia Institute of Technology (US)
  • University of Wisconsin–Madison (US)
Corresponding author
Sainfort, François
ORCID
Smith, Michael J.
Venue
The Joint Commission Journal on Quality Improvement
Publisher
Elsevier BV
Published
2001-09
Volume
27
Issue
9
Pages
469-483
ISSN
1070-3241 (ISSN-L)
DOI
10.1016/s1070-3241(01)27041-2
OpenAlex
W162252943
Cited by
60
References
95
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 3
FWCI
0.81
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Joint Commission Journal on Quality Improvement (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
  • Social Sciences › Business, Management and Accounting › Strategy and Management › Management Systems and Quality Improvement
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
Keywords
total quality management, quality improvement, health care organization, occupational safety, employee well-being, organizational performance, patient safety, patient satisfaction, organizational culture, human factors, staff stress, process of care
MeSH terms
Patient Care, Health Services Administration, Health Services Research, Humans, Organizational Innovation, Organizational Objectives, United States, Occupational Health, Total Quality Management, Safety Management, Systems Integration

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