Safety Certification, National Patient Safety Goals,
Patient Safety and Risk Management Newest 2026
Actual Exam Test Bank| Complete 600 Questions and
Correct Verified Answers/ Graded A+ (Brand New!!)
1. A patient safety professional is conducting a survey to
assess the safety culture of a hospital unit. Which of the
following survey items would best measure the presence of a
"just culture" in the unit?
A) "We have enough staff to handle the workload on this unit."
B) "When an adverse event occurs, the focus is on fixing the
system, not finding someone to blame."
C) "My supervisor praises me when I complete my tasks
efficiently."
D) "The unit has a policy for reporting medication errors."
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,Correct Answer: B
Rationale: A "Just Culture" is a fair and accountable culture that
distinguishes between human error, at-risk behavior, and reckless
behavior while focusing on system improvement rather than blame .
The key characteristic is that when errors occur, the organization
examines system flaws rather than simply punishing individuals. The
other options address staffing, recognition, and policies, which are
not the defining features of just culture.
2. A safety team is using the Just Culture algorithm to
evaluate an incident where a nurse administered the wrong
dose of a high-alert medication. The nurse had not received
training on the new smart pump system that was
implemented last week. According to Just Culture principles,
this behavior would most likely be classified as:
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,A) Reckless behavior
B) At-risk behavior
C) Human error
D) System-induced error
Correct Answer: C
Rationale: Human error in the Just Culture framework is defined as
an unintentional mistake—the nurse meant to do the right action
but inadvertently did the wrong thing. The lack of training on the
new system contributed to the error. At-risk behavior involves
behavioral choices that increase risk where the risk is not
recognized or is mistakenly believed to be justified. Reckless
behavior involves conscious disregard for substantial and
unjustifiable risk. System-induced error is not a formal Just Culture
classification .
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, 3. A hospital's patient safety committee is reviewing its
adverse event reporting system. Which of the following
actions would most effectively increase reporting from
physicians?
A) Publicly recognize the departments with the highest number of
reports each month.
B) Implement a streamlined, one-click reporting tool integrated
into the electronic health record.
C) Mandate that physicians must complete a report for any near-
miss they witness.
D) Assure reporters that reports are de-identified and used
solely for system improvement, not punitive action, and
demonstrate this by sharing system changes made as a result of
reports.
Correct Answer: D
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