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This article presents the findings of a comprehensive, exploratory survey concerning transportation quality improvement programs. Various quality improvement program dimensions were compared among two groups of respondents: those who experienced market share increases or cost decreases associated with the quality programs, and those who did not. The survey examined firms’ general focus on quality and customers, the use and design of formal quality improvement programs, and the success and current status of these programs. A number of significant quality program differences were found when comparing the two groups, including differences in top management support, benchmarking practices, customer interaction, and program design elements.

Continuous improvement has become an important strategy in improving organizational performance. Unfortunately, product development is often excluded in continuous improvement programs due to the special characteristics of product development activities. The overall purpose of this paper is to contribute to a better understanding of continuous improvement in the context of product development.

A central aspect in this context is that many organizations find it difficult to improve and learn if work is carried out in the form of projects. In this paper, a quality perspective on continuous improvement is introduced and its usefulness is tested empirically through three case studies in Swedish organizations. The focus is on the improvement programs used and the quality principles displayed in a product development context.

The results show that the three investigated organizations have multiple improvement programs, but that some configurations of improvement programs seem to be more successful than others. For instance, co‐ordination of multiple improvement programs, scope creep, and separating between product development processes and project management models are important success factors for continuous improvement. In addition, an introduction of an improvement program without adoption of a critical mass of quality principles is doomed to fail.

The research initiative is one of the first to conduct an empirical investigation of how organizations design and work with improvement programs in the context of product development. It provides knowledge to both academics and practitioners on how organizations can design and implement initiatives on quality management, especially in the context of product development.

The study of internal and external consistency of manufacturing choices is a central theme in the literature of manufacturing strategy. However, most empirical studies lack dynamic perspective in facing this problem. This paper explores on an empirical, longitudinal basis the role of strategic priorities and past experience in driving the selection of manufacturing improvement programmes. A completely aligned selection is expected when the choice of the improvement programme is coherent with both the change in manufacturing priorities and the past experience of the programme implementation. Partially aligned and misaligned choices derive from the coherence with only one or none of the two driving factors. Different patterns of selection have been detected that depend both on the programme and on company‐specific factors. Starting from the level of strategic alignment of company’s choices, guidelines are provided in order to manage effectively the process of manufacturing strategy formulation.

Given the enormous size of the health care industry, the problem of developing high‐quality, cost‐effective health care delivery systems is growing in importance. There is general consensus that health care systems require a continuous process of quality improvement (QI). Less agreement, however, surrounds the mechanisms to be implemented so that such a process is effective. This study aims to bring empirical evidence to support the hypothesis that a QI program in a general hospital – a special context of the health care delivery system – does not necessarily lead to better overall organizational performance results.

The study was done at the hospital level, and included all acute care hospitals in Israel. Data was collected in 16 of the country's 23 hospitals, a 70 percent response rate. The study compared hospital performance before and after the QI program implementation.

The study shows that QI creates meaningful improvement events. In addition, the research supports the hypothesis that increasing the number of QI activities (items) included in the QI program brings about more improvement events. The results do not support the hypothesis that high, rather than low, intensive implementation of QI activities leads to more improvement events.

The special context of general hospitals decreases the effects of a QI program on overall hospital performance, whereas QI activities function as triggers in initiating improvement events.

The purpose of this paper is twofold: to evaluate the importance of the factors reported in the literature as enablers of Continuous Improvement (CI) programmes and to determine the perception of managers of different companies in the Basque Country and Navarre (Spain) regarding the relevance of these factors to their improvement programmes.

In total, 15 elements have been considered to be key issues for the sustainability of CI programmes. Semi‐structured interviews were conducted with 36 companies in order to assess how the companies value the factors and how the factors are applied and measured.

The findings regarding the application and evaluation of such factors have revealed that companies are focused on the agents associated with the achievement of results. Other factors, such as management commitment or the promotion of team working, are highly scored and applied, but few companies evaluate them or take actions to improve their application.

This paper analyzes the application of some factors considered to be enablers or key factors for the sustainability of continuous improvement systems. Furthermore, it examines the mechanisms or indicators which are used by some companies to measure the application of those factors.

The purpose of this paper is to evaluate behavioural changes and operational outcomes resulting from a Master’s programme on improvement knowledge and leadership in the Swedish welfare sector. The welfare sector is the collective term for tax-funded services the state, county councils and municipalities are responsible to provide.

A survey combined open-ended and closed questions using a five-point Likert scale. The questions were based on the learning objectives of the Master’s programme. The survey was sent to 139 graduates and achieved a response rate of 41 per cent (57 respondents). Responses were entered into a survey programme to enable the descriptive presentation of data; open-ended responses were analysed using conventional content analysis.

Respondents reported their increased knowledge and changed behaviours had impacted operational outcomes, e.g. processes efficiency, compliance with guidelines and quality. They said the programme was of value to themselves and society but requested more leadership knowledge. All respondents recommended the programme to others.

By operationalizing the Kirkpatrick framework, the paper describes outcomes on levels three and four, and the use of numerous best practice techniques for adult learning. This is valuable knowledge for organisers of improvement knowledge educations.

Total quality management programmes emphasizing continuous improvement have become increasingly popular as companies perceive the importance of quality in maintaining or enhancing their competitive position. Although improvement programmes are extremely valuable, they do not eliminate the need for control. Unfortunately, companies striving for quality improvement may de‐emphasize, or even abandon, the use of process control charts, believing that process control cannot be applied during periods of change. There is a need for a procedure formally linking the methodology of statistical process control – which assumes process stability – to the management of quality improvement programmes – which assumes constant positive change. Provides a procedure to develop and use process goal charts. The procedure uses a straightforward adaptation of the standard process control chart methodology to support and control the planned change of a continuous improvement programme. The procedure is illustrated with a simple example and possible extensions of the procedure are suggested.

The purpose of this paper is to present a co‐authored reflection on the health improvement leadership development programme and the key evaluation messages derived from piloting in an English National Health Service region. It highlights the specific attributes of this approach to health improvement leadership development and clarifies health improvement development issues.

Appreciative inquiry and soft systems methodology are combined in an evaluation approach designed to capture individual as well as organisation learning and how it impacts on leadership in specific contexts.

The evaluation exposes the health improvement leadership needs of a multi‐organisation cohort, offers some explanations for successful achievement of learning needs while also exposing of the challenges and paradoxes faced in this endeavour.

There are limited reported templates of how to develop leadership for health improvement. This paper details a whole systems approach, acknowledging the impact of context on leadership and an approach to evaluating such complex initiatives.

The current state of the art on continuous improvement takes into consideration that capabilities and organizational behaviors are more important elements for conduction and sustainability than the technical aspects. This set of capabilities and behaviors, initially addressed by Bessant and Caffyn in the 1990s, essentially considers that organizations should build an environment focussed on continuous learning. Thus, the purpose of this paper is to analyze the development of capabilities that support continuous improvement programs in two distinct productive environments: the automotive sector and the custom made capital goods sector.

From a theoretical reference on the subject, a set of capabilities that are related to the practice of continuous improvement is raised and, through a qualitative approach, four companies of the two sectors considered are analyzed using a case study strategy.

The research results suggest that the companies researched in the automotive sector have a higher level of employee engagement in relation to continuous improvement programs compared to the companies in the capital goods sector, which is justified by the strategy adopted by the organizations.

As any qualitative approach, this research presents restrictions regarding the generalization of the results for the studied sectors.

The contribution of this paper can be divided into two parts. The first one refers to the identification of a current framework of capabilities that support continuous improvement, and the second one is the evaluation of the development of these capabilities in two sectors with different productive contexts (automotive and custom made capital goods).

Argues that organizations are in the midst of a competitive revolution and quality improvement is an important factor in the quest to remain competitive. Companies are realizing they need to initiate a quality improvement programme and that training is a critical variable in the success of that programme. Improvement involves change, and training prepares employees for the change by providing the skills needed to work as a team member, communicate effectively, and identify and solve problems. A quality training programme requires certain elements for it to be successful: a change in the company’s culture; support of top management; a strategy to guide the company; communicating to employees the reason for quality improvement and how the change will affect them; providing the proper training and providing it at the proper time; and evaluating the training process.