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Quality improvement is an essential component of occupational therapy practice. Reviewing outcomes allows therapists to determine whether interventions are effective and whether changes are needed to improve client care. When clients are not meeting expected goals, therapists should analyze available data, examine intervention effectiveness, review goal appropriateness, identify barriers, and make evidence-based adjustments.

Option B ignores opportunities for improvement and may negatively affect client outcomes. Option C eliminates an important method for evaluating service effectiveness. Option D is inappropriate because changes should be based on careful analysis rather than assumptions.

NBCOT objectives emphasize professional responsibility, evidence-based practice, program evaluation, and continuous improvement. Occupational therapists must use clinical reasoning and outcome measurement to enhance service quality. Effective practice involves regularly evaluating whether interventions achieve desired outcomes and modifying approaches when necessary to better support client participation and functional independence.