"Investigating the Role of Total Quality Management in Enhancing Patient Safety: A Case Study of the Palestinian Medical Complex and Hugo Chavez Hospital in the West Bank رسالة ماجستير

Abstract

Patient safety is an important aspect of healthcare quality, despite many challenges to achieve optimal outcomes worldwide (Slawomirski & Klazinga, 2022). This study investigates the role of Total Quality Management (TQM) in Enhancing Patient Safety: A Case Study of PMC and HCO Hospitals in the West Bank, with a focus on the mediating effect of perceived service quality. A cross-sectional design collected data from 120 employees at the Palestine Medical Complex (PMC) and Hugo Chavez Ophthalmic Hospital (HCO). A high response rate of 88.3% was achieved with 106 surveys completed. Data analysis using SmartPLS 4.1.3 software shows TQM has a significant beneficial effect on perceived service quality significantly impacts patient safety (β = 0.550, p < 0.001) and mediates the relationship between TQM and patient safety (β = 0.454, p < 0.001). These findings align with previous research that has highlighted TQM's role in improving healthcare outcomes (Talib & Azam, 2010; Dey et al.., 2006). Barriers such as work stress and limited resources underscore the necessity of implementing comprehensive, targeted solutions. (Mosadeghrad and Ferlie, 2015). This study offers different perspectives by focusing on Palestinian public hospitals, which face unique political and financial limitations. It covers a critical gap in the literature by providing tangible proof of TQM's effectiveness in a resource-constrained healthcare environment. These findings have significant effects on policymakers and administrators working to improve healthcare quality and safety in similar environments. This study provides practical strategies for VI driving global continuous improvement and patient safety by addressing structural challenges and promoting effective TQM implementation (Berwick, 1989; Tsai & Lee, 2017). Future research should expand on these findings by looking into longitudinal effects and conducting comparative analyses across areas