| Literature | Survey Feedback |
| Understanding of definitions, goals and targets | Clarify Company & QI goals |
| QI Framework/Approach should be simple, flexible and link to supervisor/ staff values and culture | Simplify QI process and Clarify QI goals |
| Program should be surely successful | Improve feedback and tangible proofs of improvements |
| Top Management commitment and support | reinforce senior management and support and allocate appropriate resources |
| Implement systems in the working environment | Improve inter-departmental activities, teamwork, group work, promote fighting spirit and communication |
| Make QI program involving the participation middle management role | Empower middle managers, make their accountabilities clear and encourage initiative and skill building |
| Give Middle management access to decision making in meeting | Make clear company goals, improve company communication, promote access to senior management |
| Educate, train, inform | Improve QI skills, knowledge, information and confidence |