Total Quality Management (TQM) is a comprehensive organizational management approach that seeks continuous improvements to meet customer needs and provide quality products and services. It focuses on meeting customer needs through reasonable cost and quality, continuous improvement, recognizing everyone's role, viewing the organization as a system, how tasks are accomplished, and emphasizing teamwork. TQM fails when there is lack of support from top and middle management, commitment in only one department, disagreement between workforce and management, inability to set performance measures to track progress, and not analyzing processes.