Medical quality management: the case for action learning as a quality initiative

Abstract

This paper explores how medical quality management has developed in the USA since the 1900s reviewing and summarizing the history of the movement through an extensive literature review. With a particular emphasis on action learning as a theoretical construct, the paper then assesses the extent to which action learning can be applied to the quality process. Using two case studies from the literature, the paper suggests that the action learning process, can in fact overcome some of the problems related to the implementation of quality initiatives in medical settings, and in particular those related to the fear expressed often by physicians that quality procedures emphasize cost cutting at the expense of patient care.