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The use of TQM concepts throughout healthcare organizations is increasingly becoming commonplace, with the study of TQM applies to the John Hopkins University Department of Emergency Medicine being a case in point (Academic Emergency Medicine 1999). The results of the primary research completed at Johns Hopkins Emergency Department show that while TQM is still in its infancy when applied to Emergency Departments, significant results are attained after five years of experience and use of TQM strategies. Further, the majority of Emergency Departments gaining the best results are using TQM to re-define patient flows processes, also changing significantly their approaches to managing radiology patient loads, clinical processes, and customer satisfaction indices of performance
The results of this research into the adoption of TQM into the Emergency Department of Johns Hopkins also underscores the need for extended employee participation, a strong and committed core set of individuals, and administrative support. If these three factors are present, there is also a high probability that there is a hospital-wide TQM initiative already in place. The research results state that many academic teaching hospitals do not have as high of a level of performance using TQM as non-teaching hospitals. This variation could be explained

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