In preparation for new antimicrobial stewardship regulatory requirements, a hospital is creating an antimicrobial stewardship committee. What should be the first step in supporting this new patient safety initiative?
A. Reach out to subject matter experts to gain insight on different compliance is...
CPPS IHI Practice Exam Questions
With Correct Answers!!
In preparation for new antimicrobial stewardship regulatory requirements, a hospital
is creating an antimicrobial stewardship committee. What should be the first step in
supporting this new patient safety initiative?
A. Reach out to subject matter experts to gain insight on different compliance issues.
B. Work with information technology (IT) to build antibiotic indication and time-out
screens.
C. Partner with key stakeholders to perform a gap analysis of current state to ideal
state.
D. Review the past year's data to identify the most commonly grown pathogens. -
Answer C. Partner with key stakeholders to perform a gap analysis of current state to
ideal state.
After implementing a new product recall system, a hospital was alerted to a high-risk
medication recall. This medication is in stock in the emergency department and
oncology unit. To ensure the effectiveness of the new system, a patient safety
professional should:
A. require individual departments to verify that a search for the recalled medication
was performed.
B. ensure an on-site visit verifies that the recalled medication was sequestered.
C. reconcile the number of doses administered to the number of doses purchased.
D. notify the affected units via fax to remove recalled meds and to post recall notices
in the units - Answer B. ensure an on-site visit verifies that the recalled medication
was sequestered.
An organization is implementing a standardized surgical safety checklist and
encounters resistance from the perioperative staff. To improve staff engagement, a
patient safety professional should:
A. prepare a business case for the implementation of the checklist.
B. present evidence that checklist use reduces practice variability.
C. assure staff that anesthesia is responsible for the checklist.
D. delegate checklist enforcement to nursing. - Answer B. present evidence that
checklist use reduces practice variability.
An organization has achieved 92% compliance with a process measure. The patient
safety professional believes that the processes in place are not reliable or that the
results are attributable to luck. Which of the following best describes this
characteristic?
A. appreciative inquiry
B. commitment to resilience
C. deference to expertise
D. preoccupation with failure - Answer D. preoccupation with failure
A just culture framework provides a means to address behaviors that undermine a
culture of safety because
A. single outbursts are differentiated from consciously chosen acts.
B. preservation of highly valued team members is a primary goal.
C. the evaluative process does not consider personal performance-shaping factors.
,CPPS IHI Practice Exam Questions
With Correct Answers!!
D. the organizational response to investigated events is independent of patient
outcome. - Answer D. the organizational response to investigated events is
independent of patient outcome.
In process improvement, reducing variation improves
A. predictability of outcomes.
B. patient care processes.
C. frequency of poor results.
D. reluctance to simplify. - Answer A. predictability of outcomes.
When creating action plans, which of the following solutions would be considered the
weakest?
A. visible involvement and action by leadership
B. standardizing processes as much as possible
C. creating access barriers to high-risk medications
D. use of color-coded labels that are readily seen by staff - Answer D. use of color-
coded labels that are readily seen by staff
Which of the following is emphasized in crew resource management?
A. care standards
B. team leadership
C. caregiver burnout
D. health literacy - Answer B. team leadership
10.
As a result of an adverse drug event, a patient required renal dialysis. A patient
safety professional and other leaders are discussing what to disclose to the patient.
In addition to an apology, critical components of disclosure include
A. a commitment to investigate what happened and how future errors will be
prevented.
B. who was involved, when it happened, and how often medication errors occur.
C. plans for staff disciplinary action, physician disciplinary action, and a plan for
education.
D. history of pharmacy transcription errors, and the plan to implement an electronic
health record. - Answer A. a commitment to investigate what happened and how
future errors will be prevented.
Results from recent tests were not included in a patient transfer from one facility to
another, resulting in an adverse event. Which of the following is the most common
cause of this type of harm?
A. inadequate information flow
B. inattentional blindness
C. normalized deviance
D. insufficient staffing - Answer A. inadequate information flow
A healthcare organization is introducing a new medication administration barcoding
system. Which of the following is the most significant indicator of successful
implementation?
,CPPS IHI Practice Exam Questions
With Correct Answers!!
A. order accuracy for high-risk medications
B. bar code scanning compliance
C. nursing bar coding knowledge
D. bar coding performance goal setting - Answer B. bar code scanning compliance
A manager demonstrates adherence to the principles of a just culture by applying
which of the following types of decision-making frameworks?
A. harm-based
B. outcome-focused
C. equity-focused
D. risk-based - Answer D. risk-based
When interpreting data after a safety event, which of the following is true?
A. Identifying human error results in a deep understanding of the event and its
causes.
B. Comparing actions taken to procedures and rules will explain the behaviors during
the event.
C. The outcome of the event has no influence on the interpretation or conclusions.
D. Causes are constructed from the investigation and analysis. - Answer D. Causes
are constructed from the investigation and analysis.
As a member of an improvement team focused on standardizing surgical protocols,
the patient safety professional recognizes that one concern clinicians may raise is:
A. improved supply chain management.
B. increased amount of waste.
C. depersonalized care.
D. increased length of stay. - Answer C. depersonalized care.
When healthcare providers are involved in an adverse event, it is important to first
A. conduct an objective root cause analysis.
B. offer guidance and emotional support.
C. involve crisis counselors in the investigation.
D. consult providers who experienced a similar event. - Answer B. offer guidance
and emotional support.
Which of the following is an example of a syndrome characterized by emotional
exhaustion and a decrease in personal accomplishments that is directly associated
with employment?
A. burnout
B. grit
C. resilience
D. failure to thrive - Answer A. burnout
When processing an order for diagnostic imaging of a patient's left foot, the nurse
remembered changing the dressing on the right foot. The nurse called the provider to
confirm the laterality, and the order was corrected. Which critical feature of the
culture of safety did the nurse practice?
A. measurement of patient safety
, CPPS IHI Practice Exam Questions
With Correct Answers!!
B. ensuring all orders are carried out
C. awareness of health education
D. detection of a near miss - Answer D. detection of a near miss
Which of the following is an example of a high reliability principle?
A. individual accountability
B. sensitivity to operations
C. executive patient safety rounds
D. adoption of cutting edge technology - Answer B. sensitivity to operations
Despite pre-procedure screening for scheduled MRIs, patients with implanted
devices presented for scheduled MRI procedures. Technicians identified the hazards
and prevented patients from entering the suite. The most effective action for the
patient safety professional is to recommend
A. using track and trend reports for repeat occurrences.
B. suspending provider MRI ordering privileges for repetitive noncompliance.
C. requiring providers and staff to complete a safety training program.
D. collaborating with providers and staff to strengthen the screening process. -
Answer D. collaborating with providers and staff to strengthen the screening process.
Which of the following statements about root cause analysis (RCA) is accurate?
A. The goal of performing an RCA is to find the one underlying root cause.
B. RCAs are not subject to outcome or hindsight biases.
C. RCAs may be subject to political highjack, resulting in poor risk controls.
D. RCAs are as effective in healthcare as they are in other high-risk industries. -
Answer C. RCAs may be subject to political highjack, resulting in poor risk controls.
Which of the following is accurate when a patient has back-to-back procedures, and
the person performing each procedure changes?
A. No staff changes may occur between procedures.
B. One time-out at the beginning of the first surgery is sufficient for each procedure.
C. Another time-out needs to be performed before starting each procedure.
D. No additional sponge count is needed between surgeries. - Answer C. Another
time-out needs to be performed before starting each procedure.
Which of the following is most useful in illustrating inefficiency and waste in a
process?
A. fishbone diagram
B. control chart
C. spaghetti chart
D. Pareto diagram - Answer C. spaghetti chart
Measurement of hospital-acquired pressure injuries would be an example of
A. an outcome measure.
B. a process measure.
C. a balance measure.
D. an evidence-based measure. - Answer A. an outcome measure.
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