“…To address this problem, many organizations are utilizing a variety of management philosophies, standards, regulations, and methods to improve efficiency in an attempt to satisfy the needs and expectations of all stakeholders (Attaran, 1996;Axelsson & Forsberg, 1998;Johnson, 1997;Manuele, 1995Manuele, , 1997. To date, however, there has been no attempt to synthesize various factors to measure management efforts and outcomes with respect to simultaneous improvements in quality, ergonomics, and safety areas (Nauhria & Chadha, 1998;Oakland, 1993;Sayre 1996;Schneid, 1998;Weinstein, 1996Weinstein, , 1997Zink 1999).…”