... Rivers, A. and Munchus, G. (1998) ‘Obstacles to the application of total quality management in health care organizations’, Total Quality Management, 9 (1), 57–66. Six sigma and Total Quality Management ... Rivers, A. and Munchus, G. (1998) ‘Obstacles to the application of total quality management in health care organizations’, Total Quality Management, 9 (1), 57–66. Six sigma and Total Quality Management ... James M, (2002), “The Essential Six Sigma , Quality Progress, January, pp. 27-31. Quality Management and Six Sigma3 2leaders and other related people in launching six sigma initiatives. The resistance...