Quality improvement enhances the probability of organizational success in increasingly competitive industries. One study of one hundred ninety-three general medical hospitals examined seven TQM practices and found them positively related to the financial performance of the hospital. Quality improvement is an enduring feature of an organization culture and of the economic competition we face today. It leads to competitive advantage through customer responsiveness, results acceleration, and resource effectiveness. The three key questions in evaluating quality-improvement ideas for people at work are these: (1) Does the idea improve customer response? (2) Does the idea accelerate results? (3) Does the idea increase the effectiveness of resources? A "yes" answer means the idea should be implemented to improve quality.