The study researches the applied principles to achieve Total Quality Management (TQM) at healthcare institutions. Main elements elaborated in accordance with field specialists and international standards. These principles, elements, and the associated processes were reflected on the healthcare industry and the specific requirements of its operations, management, and customers. In order to apply the literature study into the field, a case study of the healthcare industry in Libya is adopted. The research method was to survey hospital staff from all levels and in several institutions about the basic principles of TQM at their workplace. The participants were also asked about the work methods, their awareness about the importance of TQM, the usage of modern technology by their institutions, utilization of resources, and the problems that may hinder the implementation of TQM the hospitals. The analysis of the survey indicated that the implementation of quality at Libyan hospitals is estimated at 33.6% with a significant lack of awareness about quality. A set of recommendation is then provided for hospital leadership for study and implementation.

The aim of this paper is to determine the quality costs in ISO‐9000‐certified business organisations deriving from the application of the standards. In the beginning, the quality costs in implementing ISO‐9000 are investigated. The importance of the quality cost system is emphasised. Then, a quality cost system is proposed and quality cost analysis is performed on ISO‐9000‐certified Turkish companies. To determine the quality cost data, a questionnaire was prepared and sent to the selected companies. Collected quality costs data were then analysed using a number of analysis methods.

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Energy consumption efficiency is gaining momentum due to climate change, increased carbon emissions by firms, and paucity of fossil fuels. Energy management systems (EMS) and environmental awareness came into the spotlight few decades ago and are said to improve energy efficiency of firms. The purpose of this paper is to unveil the association and serial mediation between EMS and firm performance through pro-environmental energy consumption (PEC) and pro-environmental energy consumption performance (PECP), and the moderating role of environmental awareness (EA). The obtained data from industrial Turkish firms (n = 189) were analyzed using partial least squares structural equation modeling (PLS-SEM) technique. Results revealed that (1) EMS exerts a significant impact on PEC, (2) EMS impact on PECP is not significant, (3) PEC exerts a significant impact on PECP, (4) PECP exerts a significant impact on firm performance, (5) PEC and PECP serially mediated the association between EMS and firm performance, and (6) EA moderated the association between EMS and PECP, such that the association became stronger when EA is high compare to when it is low. Implications for theory and practice are discussed alongside future research directions.