{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:04:39Z","timestamp":1791389079981,"version":"4.3.3"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to analyze the feasibility of total quality management (TQM) in medical quality management (focusing on three dimensions: management work efficiency, medical service quality, and safety quality) and to evaluate its impact on the work efficiency of medical staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      TQM was introduced in January 2023, serving as the dividing point between the pre-management period (January-December 2022) and the post-management period (January-December 2023). Fifty medical staff members from the same cohort were chosen as study subjects. Comparisons were made between the pre- and post-management periods in terms of work efficiency (hospital culture development, reward and punishment mechanisms, communication and coordination mechanisms, environmental hygiene management mechanisms, and adverse event reporting mechanisms), medical service quality, staff satisfaction, safety quality (incidence of adverse events, unplanned returns to the operating room, qualification rate of medical device sterilization, incidence of infection events, and medical complaints), and overall medical quality (medical safety management, medical training management, and medical hygiene supervision). Data were analyzed using SPSS 29.0. Paired-sample\n                      <jats:italic>t<\/jats:italic>\n                      -tests were employed for continuous variables (scale scores), while \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      tests were used to categorical variables (satisfaction, safety quality).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After TQM implementation, the work efficiency of medical staff significantly increased (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). Compared to the pre-management period, the post-management period exhibited higher medical service quality scores, greater overall staff satisfaction, lower incidences of adverse events, unplanned returns to the operating room, infection events, and medical complaints, a higher sterilization qualification rate for medical device, and enhanced medical safety, training, and hygiene supervision management (all\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TQM is feasible and effective in medical quality management. Its implementation can enhance work efficiency and medical service quality among medical staff, improve satisfaction, strengthen safety quality, and comprehensively elevate overall medical quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1701801","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T06:41:59Z","timestamp":1765348919000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility analysis of total quality management in medical quality management and its impact on work efficiency"],"prefix":"10.3389","volume":"12","author":[{"given":"Peiyao","family":"Shi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"6504","DOI":"10.3390\/ijerph19116504","article-title":"Developing green healthcare activities in the total quality management framework.","volume":"19","author":"Lee","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e35390","DOI":"10.1097\/MD.0000000000035390","article-title":"Effect of total quality management intervention on nurse commitment and nurse performance: a quasi-experimental study.","volume":"102","author":"Alzoubi","year":"2023","journal-title":"Medicine."},{"key":"B3","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1186\/s13690-024-01420-3","article-title":"The Global research landscape and future trends in healthcare total quality management.","volume":"82","author":"Hu","year":"2024","journal-title":"Arch Public Health."},{"key":"B4","doi-asserted-by":"publisher","first-page":"2606","DOI":"10.3390\/foods13162606","article-title":"The role of total quality management in the pharmaceutical, food, and nutritional supplement sectors.","volume":"13","author":"Vassos","year":"2024","journal-title":"Foods."},{"key":"B5","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1093\/heapro\/daaa065","article-title":"Effect of Tqm educational interventions on the management policy standard of health promoting hospitals.","volume":"36","author":"Hamidi","year":"2021","journal-title":"Health Promot Int."},{"key":"B6","doi-asserted-by":"publisher","first-page":"23746","DOI":"10.1038\/s41598-025-08512-2","article-title":"A comparative study of total quality management in healthcare from provider and patient perspectives at al-mouwasat university hospital.","volume":"15","author":"Eissa","year":"2025","journal-title":"Sci Rep."},{"key":"B7","doi-asserted-by":"publisher","first-page":"823","DOI":"10.2147\/RMHP.S506296","article-title":"Enhancing occupational health and safety through strategic leadership: the mediating role of total quality management in hodeida hospitals.","volume":"18","author":"Fadhel","year":"2025","journal-title":"Yemen. Risk Manag Healthc Policy."},{"key":"B8","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1177\/1129729820936911","article-title":"A Study on the management of needle-stick and sharps injuries based on total quality management in a tertiary hospital in Western China.","volume":"22","author":"Xin","year":"2021","journal-title":"J Vasc Access."},{"key":"B9","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1177\/09514848231218631","article-title":"Sustainable quality management in hospitals: the experiences of healthcare quality managers.","volume":"38","author":"Claessens","year":"2025","journal-title":"Health Serv Manag Res."},{"key":"B10","doi-asserted-by":"publisher","first-page":"12299","DOI":"10.3390\/ijerph191912299","article-title":"Osh Performance within Tqm application in construction companies: a qualitative study in Saudi Arabia.","volume":"19","author":"Alghaseb","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B11","doi-asserted-by":"publisher","first-page":"874209","DOI":"10.3389\/fpsyg.2022.874209","article-title":"The impacts of total quality management practices in algerian higher education institutions.","volume":"13","author":"Yahiaoui","year":"2022","journal-title":"Front Psychol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"294","DOI":"10.33546\/bnj.1324","article-title":"Assessment of the quality of independent nursing practice in indonesia based on total quality management indicators.","volume":"7","author":"Sahputra","year":"2021","journal-title":"Belitung Nurs J."},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM-10-2020-0416","article-title":"The influence of soft and hard Tqm on quality performance and patient satisfaction in health care: investigating direct and indirect effects.","author":"Alkhaldi","year":"2021","journal-title":"J Health Organ Manag."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1701801\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T06:41:59Z","timestamp":1765348919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1701801\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,10]]},"references-count":13,"alternative-id":["10.3389\/fmed.2025.1701801"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1701801","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,10]]},"article-number":"1701801"}}