A hospital tries a safety training program for new employees when it learns that many of the incoming staff have poor hygiene habits. After three months, staff habits are not changing. What should the hospital do?

The training program has not improved employees’ hygiene habits after three months, so the hospital should respond by developing and implementing a different or improved program. Accepting poor habits or lowering hygiene standards could put patients at risk, while firing all new employees is an excessive response. The best choice is “design and implement a new program.”

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