The data in the table shows that Department C has the lowest compliance rate in pain management at 65%, which is well below the organization's goal of a 90% mean compliance rate. This indicates that pain management presents the greatest opportunity for improvement. Focusing on pain management in Department C could yield significant gains in overall patient care and satisfaction, as managing pain effectively is a critical component of quality care.
* Patient flow (A): Although Department C also has low compliance in patient flow, pain management has the lowest compliance rate, making it a higher priority.
* Environment of care (B): Compliance rates are higher in this focus area, especially in Department B.
* Infection prevention (D): Compliance rates are generally higher across all departments in this area, so it is not the most pressing issue.
References
* NAHQ Body of Knowledge: Quality Improvement Prioritization
* NAHQ CPHQ Exam Preparation Materials: Analyzing Performance Data for Improvement