CPPS IHI Practice Exam Latest Update 2024-2025

CPPS IHI Practice Exam Latest Update 2024-2025 100% Complete Already Graded A+

A known barrier to patient safety is staff not speaking up when they are concerned or if they see safety violations. You would help foster a culture that supports speaking up by:

- CORRECT ANSWER: a. Putting up posters around the organization that reinforce

speaking up as a safety strategy

• Using culture of safety data to assist low performing departments with defining

strategies for improvement

• Using tends in event reporting to identify staff who don't speak up

• Re-educating management on the use of Just Culture principles

A new cath lab is under construction in our hospital, and the medical director contacts you to express concerns related to the transport of patients from the cath lab to the ICU.You agree to assist in the design of an FMEA. Components of the FMEA will include: -

CORRECT ANSWER: a. Assembling a multidisplinary team whose members will

brainstorm potential failures

• Conducting the 5 "whys" to figure out what could go wrong

• Listing potential root causes of adverse events in the current cath lab

• Asking the medical director to participate in leadership rounds in the current cath lab

to identify potential safety risks

A new medication administrative safety process was implemented in a hospital. A team convened to perform a failure mode effects analysis and calculate a risk priority number (RPN). After a targeted medication safety program on the new process was delivered to nurses, the same team convened to perform another FMEA. The team would be happy to see: - CORRECT ANSWER: a. The detectability increased and RPNs were lower

• The detectability decreased and RPNs were lower

• The frequency numbers decreased and RPNs were higher

• The frequency numbers increased and RPNs were lower

A nurse on a medical-surgical unit does not comply with barcode medication administration (BCMA) while caring for one of her patients. What should her supervisor

do? - CORRECT ANSWER: a. Ask staff if there are adequate scanners to meet their

needs

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• Counsel the nurse on the importance of following policy

• Request that the pharmacy run a report of BCMA compliance rates of the unit

• Ask the nurse what was occurring at the time, and why she chose to bypass the

policy

Regulatory and Accreditation standards/requirements can help guide improvement by: -

CORRECT ANSWER: a. Fining people who don't participate

• Outlining specific targets for performance

• Defining required topics of performance

• Providing language for metrics defined in the improvement project

Sharing lessons learned from RCA's does what? - CORRECT ANSWER: a. exposes

the fallibility of the involved clinician(s)

• Allows others to introduce work arounds to avoid the same situation

• Allows co-workers to learn the rationale for why an event occurred and incorporate

new lessons learned into practice

• Sharing these events allows for exposure from litigation perspective and should not

be encouraged

The answer is A. Assembling a multidisplinary team whose members will brainstorm

potential failures - CORRECT ANSWER:

The answer is b.

• Using culture of safety data to assist low performing departments with defining

strategies for improvement - CORRECT ANSWER:

The answer is b. (I think) The detectability decreased and RPNs were lower -

CORRECT ANSWER:

The answer is B. A table indicating the CLABSI infection rates of all hospitals in the region relative to the National Healthcare Safety Network benchmark for CLABSI

infections for the past 2 years - CORRECT ANSWER:

The answer is b. Conduct a failure modes and effects analysis - CORRECT ANSWER:

The Answer is B. Hospital B routinely studies close calls - CORRECT ANSWER:

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The answer is B. Identify key stakeholders and perform a gap analysis of current state

to ideal state - CORRECT ANSWER:

The answer is B. Present cases of harm with contributing root causes and actions taken

(not just data; stories and what happened) - CORRECT ANSWER:

The answer is C. Allows co-workers to learn the rationale for why an event occurred and

incorporate new lessons learned into practice - CORRECT ANSWER:

The answer is C. Counsel the surgeon about customary clinical standards for a surgeon

using appropriate accountability system - CORRECT ANSWER:

the answer is c. Defining required topics of performance - CORRECT ANSWER:

The answer is C. develop a mechanism to gather input from a variety of sources -

CORRECT ANSWER:

The answer is c. Human factors science addresses problems by modifying the design of

the system to better aid people - CORRECT ANSWER:

The answer is C. The biopsy samples from a colonoscopy are never received by

pathology after the procedure - CORRECT ANSWER:

The answer is D. Ask the nurse what was occurring at the time, and why she chose to

bypass the policy - CORRECT ANSWER:

The Board of Hospital A wants to know how Hospital A's safety performance in central line associated blood stream infection (CLABSI) compares to that of other hospitals in their region. Which data display would best inform them for that decision? - CORRECT ANSWER: a. Control charts of overall infection rate by quarter for the past two years for each hospital in the region

• A table indicating the CLABSI infection rates of all hospitals in the region relative to

the National Healthcare Safety Network benchmark for CLABSI infections for the past 2 years

• A written report summarizing the current CLABSI prevention protocols of each

hospital in the region

• A table showing the number of CLABSI infections in each hospital in the region by

quarter for the past 2 years

The instrument count is incorrect at the conclusion of a surgical procedure. The hospital policy does not stipulate that the surgeon remain on the premises until an x-ray is obtained. The surgeon leaves the hospital to catch a flight. The x-ray reveals a retained instrument. Another surgeon is contacted to remove the retained instrument. What 3 / 4

should leadership do next? - CORRECT ANSWER: a. Create a process map of how

instruments are managed during surgery looking for latent flaws

• Revise the hospital policy to make it clear that surgeons must stay in the OR until

instrument count issues are resolved

• Counsel the surgeon about customary clinical standards for a surgeon using

appropriate accountability system

• Reeducate the OR nursing staff on keeping track of instruments on the sterile field

The patient safety team reviewed a sample of patients who had been readmitted within 48 hours of discharge and noticed that the patient's discharge medication lists had not been accurately reconciled. The appropriate next steps for the team to take include: -

CORRECT ANSWER: a. Reprimand the discharging provider

• Ask nursing to be responsible for all medication reconciliation

• Gather a team of key stakeholders to flow map the medication reconciliation process

• Gather data on the accuracy and timeliness of medication reconciliation

When setting organizational safety priorities, it is best for you to: - CORRECT

ANSWER: a. determine priorities based on pay for performance measurements

• Focus primarily on accreditation standards and requirements
• develop a mechanism to gather input from a variety of sources
• review the current literature to identify areas of concern

Which of the following descriptions best reflects principles of safe system design? -

CORRECT ANSWER: a. Hospital A routinely reviews and updates policies and

procedures every 2 years

• Hospital B routinely studies close calls

• Hospital C routinely provides trainings on the use of newly introduced medical

equipment

• Hospital D routinely utilizes control charting to report safety performance

Which of the following descriptions is true about human factors? - CORRECT

ANSWER: a. human factors science represents the intersection of medicine and

engineering

• Human factors science consists of a set of principles that can be learned during

training

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