Research study (2001) conducted in Panama City, §Florida to investigate the effect of using a total §quality management (TQM) resource manual on the §understanding and perceived effectiveness of team §leaders and managers in performance improvement §activities. The subjects of the study were working §with a newly implemented total quality management §system. An extensive 6-month training program to §prepare for the implementation of the TQM system had §recently been conducted in the urban healthcare §facility used for the investigation. The premise of §the study was to determine...