Deming’s 14 quality points.8 Adapted for echocardiography
| 1. Constantly improve echo services |
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| 2.Adopt the new philosophy |
| 3. Cease dependence on inspection (or tests) to achieve quality |
| 4. End buying echo machines on the basis of price (high or low). Worry about service delivery instead |
| 5. Improve, constantly and forever, every process for planning, learning, and implementing echo services |
| 6. Instill training on the job |
| 7. Adopt and instill leadership |
| 8. Drive out fear and blame |
| 9. Break down barriers between staff and have everybody work together |
| 10. Eliminate slogans, exhortations as targets for the work force |
| 11. Eliminate numerical quotas for employees and numerical goals for management |
| 12. Remove barriers that rob people of pride, such as annual ratings or merit systems |
| 13. Institute a vigorous programme of education and self improvement for everyone |
| 14. Puteverybody related to echo lab to work to accomplish the transformation |