“…TQM and accreditation, as a management philosophy, are a method to help organizations to acquire competitive advantages that enable them to develop considering successive environmental changes (Westcott, 2013). Further, considering the successes achieved by the industrial sector because of the application of TQM and accreditationregarding both product quality and efficiency-service sector organizations, including healthcare organizations, could gain experience by following the same path (Saif, 2016b). Consequently, hospitals implemented accreditation standards to improve their use of available resources, improve their services, and improve patient satisfaction (Oliveira & Matsuda, 2016).…”