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Food-Service-Manual-for-Health-Care-Institutions

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Figure 4.2. Deming’s PDCA Cycle<br />

Act<br />

Take<br />

appropriate<br />

action<br />

Check the<br />

effects of<br />

implementation<br />

Check<br />

systemic, not individual employee problems, and continually strives to make improvements and<br />

satisfy customers.”<br />

In 1951, in his Quality Control Handbook, Joseph Juran introduced the dimension of economics<br />

to quality by categorizing the costs of quality as “avoidable” and “unavoidable.”<br />

According to Juran, avoidable costs are associated with defects and product failures, scrapped<br />

materials, labor hours <strong>for</strong> rework and repair, complaint processing, and losses resulting from<br />

unhappy customers. Unavoidable costs, he explains, are associated with prevention, inspection,<br />

sampling, sorting, and other quality control initiatives. Juran’s work provided managers with<br />

objective measures <strong>for</strong> deciding how much to invest in quality improvement.<br />

According to Garvin (1988), Armand Feigenbaum expanded manufacturing quality control<br />

in 1956 by proposing a total quality control system, adding product development, vendor<br />

selection, and customer service to the existing quality system. Feigenbaum supported reliability<br />

engineering designed to prevent defects and to emphasize attention to quality throughout<br />

the design process.<br />

Another well-known name in the quality movement is Philip Crosby, who focused on management<br />

expectations and human relations. Crosby believed in getting the job done correctly<br />

the first time—or zero defects. Zero defects was achieved through training, communicating<br />

quality results, goal setting, and personal feedback.<br />

Plan<br />

Determine goals<br />

and targets<br />

Implement<br />

work<br />

Determine<br />

methods of<br />

reaching goals<br />

Engage in<br />

education and<br />

training<br />

Do<br />

Quality Management<br />

71

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