“…Previous studies on quality management in the hospital environment were undertaken byAlaraki (2014) in Saudi Arabia hospitals; Xiong et al (2017) in Chinese hospitals; Sabella, Kashou, and Omran (2015) in West Bank hospitals and Al Raoush, A'agoulah, Albalas, and Athameneh (2020) in teaching hospitals in Jordan. In Brazil, Alves (2015) carried out research in hospitals in the metropolitan region of Sao Paulo; Ramos, Moreira, Martins, and Souza (2019) in a large hospital; Van Schoten, Block, Streeuwenberg, Groenewegen, and Cordula (2016) in Dutch hospitals; Mesgari, Miab, and Sadeghi (2017) in public hospitals in Iran; and Baidoun, Salem, and Omran (2018) evaluated excellence models for hospitals.…”