The document discusses Total Quality Management (TQM) in the pharmaceutical industry. It explains that TQM aims to prevent defects rather than just detect them after the fact. This is important for pharmaceuticals since mistakes can have serious or fatal health consequences. TQM requires an organized effort across an entire company to continuously improve quality at every stage of production. It is built upon foundations of ethics, integrity, and trust and requires training, teamwork, leadership, communication, and recognition. The goal of TQM is long-term success through customer satisfaction.