Achieving 100% compliance with patient safety goals (hand hygiene, time-out) requires addressing gaps in current performance (80% and 90%). The most effective approach is to understand why compliance is not met.
Option A (Projecting the number of preventable adverse events): Projections estimate impact but do not address how to improve compliance.
Option B (Prioritizing implementation of strategies): Strategies are premature without understanding barriers to compliance.
Option C (Determining barriers to compliance): This is the correct answer. The NAHQ CPHQ study guide states, “To improve compliance with safety goals, quality professionals should firstidentify barriers (e.g., workflow issues, lack of training) through methods like root cause analysis or staff interviews” (Domain 1). This informs targeted interventions.
Option D (Benchmarking with a similar facility): Benchmarking provides context but does not directly address internal barriers to compliance.
CPHQ Objective Reference: Domain 1: Patient Safety, Objective 1.3, “Identify barriers to safety goal achievement,” emphasizes analyzing compliance gaps. The NAHQ study guide notes, “Understanding barriers is the first step to improving safety compliance” (Domain 1).
Rationale: Determining barriers identifies root causes of non-compliance, enabling effective interventions, as per CPHQ’s patient safety principles.
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