Assessing the evidence on CQI: Is the glass half empty or half full?

S. M. Shortell*, J. L. Kellogg, D. Z. Levin, J. L. O'Brien, E. F.X. Hughes

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

72 Scopus citations


Review of the literature on CQI/TQM in both health care and non-health care settings reveals some evidence of a positive impact for selected dimensions of CQI/TQM. There is little research, however, that examines CQI/TQM as a holistic integrated approach to quality improvement, nor are there many studies that go beyond single or small sample case studies. Using a conceptual framework involving cultural, technical, strategic, and structural dimensions, a number of barriers to CQI implementation are identified along with suggestions for high-priority areas of research.

Original languageEnglish (US)
Pages (from-to)4-24
Number of pages21
JournalHospital and Health Services Administration
Issue number1
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • Leadership and Management


Dive into the research topics of 'Assessing the evidence on CQI: Is the glass half empty or half full?'. Together they form a unique fingerprint.

Cite this