CPPS Review Course Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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CPPS
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CPPS
A hospital's patient safety team is exploring strategies to reduce the number of patient identification
errors in the lab specimen collection process. Which of the following strategies will provide the highest
impact in reduction of errors?
A.) Educate all nurses and phlebotomists to ask about p...
A hospital's patient safety team is exploring strategies to reduce the number of patient identification
errors in the lab specimen collection process. Which of the following strategies will provide the highest
impact in reduction of errors?
A.) Educate all nurses and phlebotomists to ask about patient identifiers before obtaining specimen.
B.) Revise the process to allow only one specimen label on the nurse/phlebotomist tray at a time.
C.) Standardize the process to require the nurse/phlebotomist to ask the patient to state their name
prior to the specimen collection.
D.) Utilize barcode scanners to generate a specimen label at the bedside. - D.) Utilizing bar code
scanners is the correct answer because it entails a forcing function at the bedside.
A hospital board wants to know how its safety performance in central line-associated blood stream
infections (CLABSIs) compares to that of other hospitals in their region. Which data display would best
inform them for that decision?
A.) A written report summarizing the current CLABSI prevention protocols of each hospital in the region
B.) A table showing the number of CLABSI infections in each hospital in the region by quarter for the past
two years
C.) 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 two years
D.) Control charts of overall infection rate by quarter for the past two years for each hospital in the
region - C.) 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 two years
The correct answer is 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 two years.In regard
to the other answer options: Reporting an overall infection rate does not tease out CLABSI infections
specifically. Written descriptions of protocols may not include performance data and would be harder to
digest and find comparable information to guide decision making. Counts of CLABSI infections alone
would not communicate enough information for decision making. Large hospitals may have more
infections than smaller hospitals because of their size or patient acuity levels, so looking at rate would
make performance more comparable across hospitals.
,A hospital is attempting to engage the board in their quality endeavors. Which is the best strategy to
improve the board's involvement?
A.) Focus only on measures that are tied to reimbursement.
B.) Report all quality measures to the board.
C.) Align the quality measures with the hospital's strategic goals.
D.) Set only goals that can be attained. - C.) Align the quality measures with the hospital's strategic
goals.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were 80 employees who
responded. Responses to the survey item that states "we have patient safety problems in this unit" were
as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
A.) 75%
B.) 60%
C.) 25%
D.) 20% - C.) 25%The AHRQ Hospital Survey on Patient Safety Culture User Guide scoring guidance
says to use the "Strongly Agree/Agree" response sum, or, for negatively worded items—such as this
one—use the "Strongly Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by total number of
respondents (i.e., 80): 20/80 = 25%.
After scanning the armband, the correct label for that patient will print from the scanner.In regard to the
other options: Education is always the lowest impact (soft fix) in any action plan. Changing processes is
better but will still rely on individuals to do the right thing, e.g., the nurse/phlebotomist would need to
make sure multiple labels were not on the tray, which is a common shortcut to avoid having to walk back
and forth between specimen collections. Direct observation would be required to make sure people
didn't introduce workarounds.
,A known barrier to patient safety is staff not speaking up when they are concerned or if they see safety
violations. Which of the following is the best approach to help foster a culture that supports speaking
up?
A.) Putting up posters around the organization that reinforce speaking up as a safety strategy
B.) Implementing Just Culture tools
C.) Using trends in event reporting to identify staff who don't speak up
D.) Using culture of safety data to assist low-performing departments with defining strategies for
improvement - D.) Using culture of safety data to assist low-performing departments with defining
strategies for improvement
Using culture of safety data to target departments that are contributing the most to the problem can
help build momentum for speaking up across the organization. The Safety Attitudes Questionnaire (SAQ),
which specifically asks questions about how well people are encouraged to speak up and about feedback
loops, could point to departments most in need of help. Adopting just culture is not an incorrect answer
to the question, but using culture of safety data is a more targeted answer.
A medication error is self-reported by a nurse to the risk manager. The manager tells the nurse to
complete an incident report. Upon review of the patient safety event, the manager notices that the
nurse overrode a safety check on the barcode scan system. Further review of the "override" report
reveals that several other nurses have also overridden the system. The risk manager further investigates
and finds out that there was an issue with the printer in registration on that day, which meant that the
barcode scanner could not read the patient ID bracelets.
This is an example of what type of analysis?
A.) Failure mode and effects analysis
B.) Root cause analysis
C.) Event report analysis
D.) Process analysis - B.) Root cause analysis
Correct Answer:Root cause analysis-Root cause analysis is a methodical investigation of the error/event
by continuously asking why until you come to the actual cause of the error. Failure mode and effects
analysis is usually performed when rolling out something new. Event report analysis is a description of
what happened, not necessarily the cause. Process analysis looks at how something is done, rather than
why something happened.
, A new medication administration safety process was implemented in a hospital. A team convened to
perform a failure mode effects analysis (FMEA) and calculate a risk priority number (RPN). After a
targeted medication safety program on the new process was delivered to nurses, the same team was
convened to perform another FMEA.
Which of the following would the team be happy to see?
A.) The frequency numbers increased and RPNs were lower.
B.) The detectability increased and RPNs were lower.
C.) The frequency numbers decreased and RPNs were higher.
D.) The detectability decreased and RPNs were lower. - B.) The detectability increased and RPNs
were lower.
Correct Answer:The detectability increased and RPNs were lower.The team would be seeing an
improvement if the detectability was higher, meaning safety risks and defects were easier to identify and
therefore resolve. It's important to note that detectability has an inverse scale, so higher detectability
gets a lower score reflecting lower risk. The RPN represents the overall risk of harm, so improvement
would be occurring if that number decreased.
A nurse is preparing to take medication to Patient A. On the way to Patient A's room, Patient B calls out
for immediate assistance. The nurse goes to assist Patient B. After helping Patient B, the nurse gives
Patient B the medication intended for Patient A.
This scenario is most clearly an example of which of the following?
A.) Sentinel event
B.) Human error
C.) Behavioral choice
D.) System failure - B.) Human error
Giving a medication to the wrong patient when distracted is a human error. The nurse did not make a
behavioral choice and the system did not fail. A sentinel event occurs if death or major permanent loss
of function occurs.
A nurse on a medical-surgical unit does not comply with the barcode medication administration (BCMA)
procedure while caring for one of her patients. Her supervisor is deciding how to respond.
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