The Research article is to have a discussion on TQM implementation and quality Practices in the hospitals system and to investigate out the relationship between TQM practices and organization performance of hospitals in patient outcome and patient satisfaction. This research is based on literature review of Quality Management and various critical success factors namely leadership, communication, employee involvement, customer focus, organization culture, strategic planning and patient loyalty hence improve hospital performance and patient satisfaction and patient outcome. This article has made an attempt to establish a positive relation between a second order construct of Total Quality Management and their influence on the organizational performance of hospitals and patient outcome.Searches across 10 computerized databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, and Google Scholar) were used to perform a systematic review with research synthesis. Studies offering information on Total Quality Management Practice well as in in the healthcare industry that were published in journals between 2013 and 2023 were qualified for inclusion. Eight research papers that passed the eligibility check conducted by the study's authors were included in the analysis. Total Quality management Practices impact varies greatly across research. this meta-analysis showed that Total Quality management Practices had a significant effect Patient outcome and patient satisfaction in healthcare system , despite the low quality of the data, which signalled uncertainty. Other comparisons produced contradictory results. Based on the findings, TQM is an effective way to improve Healthcare professionals' skills on patient satisfaction, but further high-quality research with adequate sample sizes is needed.