elements
Al and Laura, I agree in part, but would like to add the following.
In order to maximize the effectiveness of the QMS, I would suggest that the term “elements” should include all aspects of the QMS. If we look at the intent of management review, then all elements, by necessity, will be those things that either impede, or enhance the goals of the QMS. Less obvious things like “attitude” should also be included. This may be a hard thing for management, especially when it might be their attitude that impedes the progress. Make “elements” inclusionary, rather than exclusionary.