BPR, TQM, Six Sigma, Quality Circles, Juran, Deming, etc., etc.
All names for basically the same activity; systematic and objective viewpoint on quality and efforts leading to quality. The only difference is the terminology and which consultant you are writing the checks to.
The fundamental problem with quality management programs is their inability to be long term and sustainable. Too many times quality efforts lose steam after even a short life span of success, let alone be in existence for the long haul. Are all quality efforts doomed to fail?
Current research efforts in this area concentrate on uncovering the essentials of quality management programs and why they fail to be sustainable. The objective is to discover what features of quality management programs make them unable to become long term efforts that are acculturated into the organization, and to identify those features that may lead to a truly sustainable quality management program.