CPPS (2026/27) EXAM QUESTIONS AND ALL
CORRECT ANSWERS 100% SOLVED
Name the 6 Major Regulators of Healthcare - CORRECT ANSWER =
CMS: Sets minimum standard for $$$
Joint Commission: Accreditation
NAM: Objective health information
NQF: Endorses national standard for science
IHI: Improvement science to advance better health outcomes
Sentinel event - CORRECT ANSWER = unexpected occurrence involving
death or serious injury (temporary or permanent)
Senior Executive Adopt-a-Work Unit - CORRECT ANSWER = pair a
hospital executive with a work unit to help them with safety issues
Situational Awareness - CORRECT ANSWER = Knowledge and
understanding of your surroundings and situation and the risk they
potentially pose to your safety
ROI equation - CORRECT ANSWER = savings/investment x 100
RPN equation - CORRECT ANSWER = severity x likelihood of
UNdetectability x likelihood to happen
pg. 1
,what makes an RCA credible? - CORRECT ANSWER = varied participants
internally consistent
explains "N/A" or "No problem"
when to use the 5 why's - CORRECT ANSWER = to get to the root cause
Hierarchy of Improvement Strategies - CORRECT ANSWER = Education
< Rules/Policies < Checklists < Standardization < Automation < Forcing
Function
RCA Steps and Phases - CORRECT ANSWER = Initiation Phase
ID event
Select team
Screening Phase
Describe what happened
Analysis Phase
ID contributing factors
ID root causes
Design and implement plan
pg. 2
, Monitoring Phase
Measure success of plan
biggest pitfall of RCA - CORRECT ANSWER = skipping chronology
FMEA Steps - CORRECT ANSWER = 1. Select team
2. ID process
3. Diagram process
4. ID failure modes and rank them
5. Determine an action plan
Latent failure - CORRECT ANSWER = a flaw in a system that does not
immediately lead to an accident but establishes a situation in which a
triggering event may lead to an error.
i.e sleep deprivation
active failure - CORRECT ANSWER = errors at the sharp end (error that
occurs at the point of contact)
i.e. pushing the wrong button or ignoring a call light
pg. 3
CORRECT ANSWERS 100% SOLVED
Name the 6 Major Regulators of Healthcare - CORRECT ANSWER =
CMS: Sets minimum standard for $$$
Joint Commission: Accreditation
NAM: Objective health information
NQF: Endorses national standard for science
IHI: Improvement science to advance better health outcomes
Sentinel event - CORRECT ANSWER = unexpected occurrence involving
death or serious injury (temporary or permanent)
Senior Executive Adopt-a-Work Unit - CORRECT ANSWER = pair a
hospital executive with a work unit to help them with safety issues
Situational Awareness - CORRECT ANSWER = Knowledge and
understanding of your surroundings and situation and the risk they
potentially pose to your safety
ROI equation - CORRECT ANSWER = savings/investment x 100
RPN equation - CORRECT ANSWER = severity x likelihood of
UNdetectability x likelihood to happen
pg. 1
,what makes an RCA credible? - CORRECT ANSWER = varied participants
internally consistent
explains "N/A" or "No problem"
when to use the 5 why's - CORRECT ANSWER = to get to the root cause
Hierarchy of Improvement Strategies - CORRECT ANSWER = Education
< Rules/Policies < Checklists < Standardization < Automation < Forcing
Function
RCA Steps and Phases - CORRECT ANSWER = Initiation Phase
ID event
Select team
Screening Phase
Describe what happened
Analysis Phase
ID contributing factors
ID root causes
Design and implement plan
pg. 2
, Monitoring Phase
Measure success of plan
biggest pitfall of RCA - CORRECT ANSWER = skipping chronology
FMEA Steps - CORRECT ANSWER = 1. Select team
2. ID process
3. Diagram process
4. ID failure modes and rank them
5. Determine an action plan
Latent failure - CORRECT ANSWER = a flaw in a system that does not
immediately lead to an accident but establishes a situation in which a
triggering event may lead to an error.
i.e sleep deprivation
active failure - CORRECT ANSWER = errors at the sharp end (error that
occurs at the point of contact)
i.e. pushing the wrong button or ignoring a call light
pg. 3
