CPPS IHI ACTUAL TEST PAPER QUESTIONS
AND ANSWERS GRADED A+
●● You are educating clinical managers in your health care facility on
how to identify appropriate events for conducting a root cause analysis
(RCA). Which event provides the BEST opportunity for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear
from the tape.
B.) A patient with no known allergies experiences an anaphylactic
reaction to an antibiotic, requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by
pathology after the procedure.
D.) In the last four months, there have been three occurrences of
depressed respirations related to sedation in the same department.
Answer: C.) The biopsy samples from a colonoscopy are never received
by pathology after the procedure.
●● 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%
Answer: 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%.
●● What is one example of a communication technique providers can
use to improve communication with patients?
A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule
Answer: B.) Teach-back
,●● The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through
organizational change?
A.) Monitor change, identify potential safety implications, and employ
countermeasures to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor
change
C.) Identify potential safety implications, employ countermeasures to
mitigate any anticipated risks, and monitor the change
D.) None of the above
Answer: C.) Identify potential safety implications, employ
countermeasures to mitigate any anticipated risks, and monitor the
change
●● What is the term which describes the belief that one will not be
punished or humiliated for speaking up with ideas, questions, concerns,
or mistakes?
Answer: Psychological safety
●● A safety-supportive system of shared accountability in which: 1.)
Healthcare institutions are accountable for safe systems design and for
encouraging safe choices of clinicians and staff (clear expectations set
the tone to create environment of mutual respect)
2.) Clinicians and staff are accountable for the quality of their choices
(i.e. striving to make the best possible choices as professionals)
, Answer: Just Culture
●● At the conclusion of a surgical procedure at your hospital, the
instrument count is incorrect. The hospital policy does not stipulate that
the surgeon must remain on the premises until an x-ray is obtained to
check for retained foreign objects. By the time the x-ray results come in
to reveal that there is, in fact, a retained instrument, the original surgeon
has left the hospital to catch a flight. Another surgeon is contacted to
remove the retained instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in
the operating room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon
about customary clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on
the sterile field.
D.) Create a process map of how instruments are managed during
surgery, looking f
Answer: B.) Using an appropriate accountability system, counsel the
surgeon about customary clinical standards.
●● This term reflects a group of individuals who understand the
importance of self- and group- regulation.
Answer: Professionalism
AND ANSWERS GRADED A+
●● You are educating clinical managers in your health care facility on
how to identify appropriate events for conducting a root cause analysis
(RCA). Which event provides the BEST opportunity for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear
from the tape.
B.) A patient with no known allergies experiences an anaphylactic
reaction to an antibiotic, requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by
pathology after the procedure.
D.) In the last four months, there have been three occurrences of
depressed respirations related to sedation in the same department.
Answer: C.) The biopsy samples from a colonoscopy are never received
by pathology after the procedure.
●● 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%
Answer: 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%.
●● What is one example of a communication technique providers can
use to improve communication with patients?
A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule
Answer: B.) Teach-back
,●● The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through
organizational change?
A.) Monitor change, identify potential safety implications, and employ
countermeasures to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor
change
C.) Identify potential safety implications, employ countermeasures to
mitigate any anticipated risks, and monitor the change
D.) None of the above
Answer: C.) Identify potential safety implications, employ
countermeasures to mitigate any anticipated risks, and monitor the
change
●● What is the term which describes the belief that one will not be
punished or humiliated for speaking up with ideas, questions, concerns,
or mistakes?
Answer: Psychological safety
●● A safety-supportive system of shared accountability in which: 1.)
Healthcare institutions are accountable for safe systems design and for
encouraging safe choices of clinicians and staff (clear expectations set
the tone to create environment of mutual respect)
2.) Clinicians and staff are accountable for the quality of their choices
(i.e. striving to make the best possible choices as professionals)
, Answer: Just Culture
●● At the conclusion of a surgical procedure at your hospital, the
instrument count is incorrect. The hospital policy does not stipulate that
the surgeon must remain on the premises until an x-ray is obtained to
check for retained foreign objects. By the time the x-ray results come in
to reveal that there is, in fact, a retained instrument, the original surgeon
has left the hospital to catch a flight. Another surgeon is contacted to
remove the retained instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in
the operating room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon
about customary clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on
the sterile field.
D.) Create a process map of how instruments are managed during
surgery, looking f
Answer: B.) Using an appropriate accountability system, counsel the
surgeon about customary clinical standards.
●● This term reflects a group of individuals who understand the
importance of self- and group- regulation.
Answer: Professionalism
