Software Process Improvement (SPI) programs have been implemented, inter alia, to improve quality and speed of software development. SPI addresses many aspects ranging from individual developer skills to entire organizations. It comprises, for instance, the optimization of specific activities in the software lifecycle as well as the creation of organizational awareness and project culture. In the course of conducting a systematic mapping study on the state-of-the-art in SPI from a general perspective, we observed Software Quality Management (SQM) being of certain relevance in SPI programs. In this paper, we provide a detailed investigation of those papers from the overall systematic mapping study that were classified as addressing SPI in the context of SQM (including testing). From the main study’s result set, 92 papers were selected for an in-depth systematic review to study the contributions and to develop an initial picture of how these topics are addressed in SPI. Our findings show a fairly pragmatic contribution set in which different solutions are proposed, discussed, and evaluated. Among others, our findings indicate a certain reluctance towards standard quality or (test) maturity models and a strong focus on custom review, testing, and documentation techniques, whereas a set of five selected improvement measures is almost equally addressed.