The Four P’s quality improvement principles are as below:
1. People: It will quickly become apparent that some individuals are not ideally suited to the participatory process. Lack of enthusiasm will be apparent from a generally negative approach and a tendency to have prearranged meeting which coincide with the meetings of TOM teams.
2. Process: The rhetoric and inflexibility of a strict Deming approach will often have a demotivating effect on group activity.
3. Problem: Experience suggests that the least successful groups are those approaching problems that are deemed to be too large provide meaningful solutions within a finite time period.
4. Preparation: A training in the workings of Deming- like processes is an inadequate preparation for the efficient implementation of a quality improvement process.
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