Total Quality Management (TQM) is a strategy that aims to create quality and implement efficiency in all organizational processes. TQM has been widely used in education, government, service industries, and manufacturing. It is called "total" because it is concerned with the overall organizational activities (Kesavan & Elanchezhian, 2008). The TQM efficiency operated by Parkland hospital is exemplary. The aim of the Total Quality Management is to achieve continuous improvement in quality for a better knowledge and control of the whole system (product design or service providers, materials, distribution, information, etc.). So that the product received by consumers constantly correct ...