CPHRM Exam Prep - Clinical/Patient
Safety Questions and Answers
Updated 2026
OutlineAandAdiscussAtheAstepsAofAtheAriskAmanagementAprocessA-AAnswerAItAinvolvesAkeyA5Asteps:
1.AidentifyAandAanalyzeAlossAexposures.ATheAriskAanalysisAhelpsAdeterminesAtheAseverityAofAloss.
2.ARiskAtechniques:AriskAcontrolA(internalAcontrolsAinAplace,AlikeAP&PsAorAeducationAandAtraining,Ap
reventionAorAmitigationAofAtheAimpactAofAlosses)AandAriskAfinancingA(paymentAofAunavoidableAlosses
).
3.ASelectAthoseAriskAmanagementAtechniquesAthatAareAbestAsuitedAtoAmanageAtheAspecificAneeds.
4.AImplementAselectedAtechniques/internalAcontrols.
5.AEvaluateAandAmonitorAtheAeffectivenessAofAtheAchosenAtechniquesAinAmanagingAtheAidentifiedArisk
.
DescribeAaAcaptiveAinsuranceAcompanyA-
AAnswerAOftenAreferredAasAaAcaptive,AownedAandAcontrolledAbyAitsAinsureds.AItAisAaAcorporationAcr
eatedAinAorderAtoAinsureAtheArisksAofAitsAowners,AwhileAprovidingArevenueAtoAtheAownersAfromApre
miumApayments.
CaptiveAinsuranceAprovidesAgreatAflexibilityAsuchAasAmultipleAlinesAofAcoverageAorAmulti-
levelAcorporateAstructure.
TheAform,Astructure,AandAownershipAofAcaptivesAcanAbeAcreatedAinAvariationsAandAcombinationsAtoA
meetAtheAcontrol,Aregulation,AandAcoverageAgoalsAofAtheAinsureds.AAAcaptiveAisAtypicallyAsubjectAto
AaAgreaterAscrutinyAbyAtheAorg'sAgoverningAbodyAgivenAthatAitAisAfundedAbyAtheAorg.ABecauseAofAt
his,AtheAriskAmanagementAfunctionAisAelevated,AwithAaAhigherAemphasisAplacedAonAcontrollingAlosse
sAforAtheAorg.
DiscussAtheAJointACommissionA(TJC)'sAnationalApatientAsafetyAgoalsA-AAnswerAPatientAsafetyAgoals:
1.AidentifyApatientsAcorrectlyA-AuseAatAleastA2Aidentifiers.
2.AImproveAstaffAcommunicationA-AgetAimportantAtestAresultsAtoAtheArightAprovidersAonAtime.
3.AUseAmedicinesAsafelyA-
AlabelAallAmeds,AaccuratelyArecordAtheApatient'sAcurrentAmedications,AandAtakeAextraAcareAwithAblo
odAthinners.
4.AUseAalarmsAsafelyA-AensureAalarmsAonAmedicalAequipmentAcanAbeAheard.
5.APreventAinfectionA-AimprovedAhandAcleaning/hygiene.
6.AIdentifyApatientAsafetyAriskA-AreduceAtheAriskAofApatientAsuicide.
7.APreventAmistakesAinAsurgeryA-
AverifyAcorrectAsurgery/patient/bodyApart,AmarkAtheAsurgicalAsiteAcorrectly,AandAtakeAaAtime-
outAbeforeAstartingAsurgery.
,DiscussAcommonAtypesAofAlegalArequestsAforAinfoAwithAwhichAtheAriskAmanagementAprofessionalAma
yAbeAservedA-AAnswerASubpoenaAducesAtecumA-
AwrittenAdocAthatArequiresAaApersonAtoAappearAatAaAparticularAtimeAandAplaceAtoAgiveAtestimonyA
asAaAwitnessAand/orAbringAwithAthemAanyAdocumentsAtoAproduceAevidence.AItAmayAbeAforAaAdepos
itionAorAforAaAtrial.
"DucesAtecum"AinALatinAmeans,A"youAshallAbringAwithAyou"AtheAevidence.
CourtAorderA-
AlegalAdocAtoAcommandAaApersonAtoAperformAaAspecificAact,AprohibitAthemAfromAtakingAaAcertainA
action,AorAsetsAcourtAdatesA(e.g.,Apleadings,AcomplaintsAandAdiscoveryArequests).
PetitionA-
AisAaApleadingAorAformalArequestAcallingAforAtheAredressAofAaAwrongAorAredressAofAgrievances.AIn
Ahealthcare,AcommonApetitionAisAaAclaimAforAdamagesAresultingAfromAmedicalAmalpractice.
DiscussAtheAtherapeuticAprivilegeAandAcompulsoryAtreatmentAexceptionsAtoAbeAinformedAconsentAproc
essA-AAnswerATheAtherapeuticAprivilegeAexceptionA-
AonlyAappliesAinAnarrowAcircumstancesAinAwhichAaAdeterminationAisAmadeAthatAdisclosingAcertainAin
formationAwouldAbeApsychologicallyAharmfulAtoAtheApatient.
AAthoroughAmedicalAassessmentAofAtheApatient'sAconditionAmustAbeAcompletedAandAdocumented.
TheAcompulsoryAtreatmentAexceptionA-
AprovidesAthatAtheAgreaterAgoodAandAhealthAofAtheAcommunityAoutweighAtheArightsAofAtheAindividu
al.AForAexample,ACOVIDApandemicAisAtheAinstitutionAofAmandatoryAmaskingArequirementsAwithoutAal
lowingAindividualsAtheAopportunityAtoAwithholdAconsent.
IdentifyAsomeAchangesAinAhealthcareAinArecentAyearsAthatAhaveAincreasedAriskAforAtheAhealthcareAor
ganizationA(partA1AofA2)A-AAnswerAEvent:AincreasedAregulatoryAoversight.
impact:ACMS,ATJC,AandAstateAhealthAagencies,AwhichArequireAcomplianceAfromAhealthcareAorganizatio
ns.
Event:AlegislativeAchangesAincludingAhealthcareAreform.
Impact:AchangesAtoAfinancialAreimbursementAforAservicesAandAaccessAtoAservices.
Event:AincreasedAemphasisAonApatientAsafety
Impact:AexpectationAthatAorgsAtakeAproactiveAmeasuresAtoAprotectApatientAsafety.
Event:AImplementationAofAEMR.
Impact:AriskAtoAcontinuityAofAinformation,Acybersecurity,AandAprotectionAofAhealthAinformation.
, Event:AchangesAinAworkforce.
Impact:Ashortage,AincludingAanAagingAworkforce.
Event:AMedicareAfraudAandAabuse.
Impact:AincreasedAgovAscrutinyAtoAprotectAMedicareAfunds.
Event:AWorkplaceAViolence.
Impact:AincreasedAprevalenceAofAviolenceAagainstAhealthcareAproviders.
IdentifyAsomeAchangesAinAhealthcareAinArecentAyearsAthatAhaveAincreasedAriskAforAtheAhealthcareAor
ganizationA(partA2AofA2)A-AAnswerAEvent:ACOVIDApandemic
Impact:AresourceAshortages,AhealthArisksAtoAproviders,AandAfinancialAlosses.
Event:AtortAreform.
Impact:AattemptingAtoAreduceAtheAnumberAandAimpactAofAmedicalAmalpracticeAclaims.
Event:AaccessAtoAcapital.
Impact:AchangesAinAfinancialAstabilityAandAviability.
Event:AagingApatientApopulationAandAincreasedAprevalenceAofAchronicAdisease.
Impact:AincreasedAuseAofAlimitedAresources.
IdentifyAspecificAriskAdomains,AandAgiveAexamplesAofAeventsAinAeachAdomainA(partA1AofA2)A-
AAnswerARiskAdomain:ApatientAcare-relatedArisks.
TypeAofAevents:A
➣Privacy/HIPAA
➣Abuse,Aneglect,Aassault
➣InformedAconsent
➣EMTALA
➣HumanAsubjectAresearchAstudies
➣HospitalAacquiredAconditions/HACs
RiskAdomain:Amedical-staffArelatedArisks
Safety Questions and Answers
Updated 2026
OutlineAandAdiscussAtheAstepsAofAtheAriskAmanagementAprocessA-AAnswerAItAinvolvesAkeyA5Asteps:
1.AidentifyAandAanalyzeAlossAexposures.ATheAriskAanalysisAhelpsAdeterminesAtheAseverityAofAloss.
2.ARiskAtechniques:AriskAcontrolA(internalAcontrolsAinAplace,AlikeAP&PsAorAeducationAandAtraining,Ap
reventionAorAmitigationAofAtheAimpactAofAlosses)AandAriskAfinancingA(paymentAofAunavoidableAlosses
).
3.ASelectAthoseAriskAmanagementAtechniquesAthatAareAbestAsuitedAtoAmanageAtheAspecificAneeds.
4.AImplementAselectedAtechniques/internalAcontrols.
5.AEvaluateAandAmonitorAtheAeffectivenessAofAtheAchosenAtechniquesAinAmanagingAtheAidentifiedArisk
.
DescribeAaAcaptiveAinsuranceAcompanyA-
AAnswerAOftenAreferredAasAaAcaptive,AownedAandAcontrolledAbyAitsAinsureds.AItAisAaAcorporationAcr
eatedAinAorderAtoAinsureAtheArisksAofAitsAowners,AwhileAprovidingArevenueAtoAtheAownersAfromApre
miumApayments.
CaptiveAinsuranceAprovidesAgreatAflexibilityAsuchAasAmultipleAlinesAofAcoverageAorAmulti-
levelAcorporateAstructure.
TheAform,Astructure,AandAownershipAofAcaptivesAcanAbeAcreatedAinAvariationsAandAcombinationsAtoA
meetAtheAcontrol,Aregulation,AandAcoverageAgoalsAofAtheAinsureds.AAAcaptiveAisAtypicallyAsubjectAto
AaAgreaterAscrutinyAbyAtheAorg'sAgoverningAbodyAgivenAthatAitAisAfundedAbyAtheAorg.ABecauseAofAt
his,AtheAriskAmanagementAfunctionAisAelevated,AwithAaAhigherAemphasisAplacedAonAcontrollingAlosse
sAforAtheAorg.
DiscussAtheAJointACommissionA(TJC)'sAnationalApatientAsafetyAgoalsA-AAnswerAPatientAsafetyAgoals:
1.AidentifyApatientsAcorrectlyA-AuseAatAleastA2Aidentifiers.
2.AImproveAstaffAcommunicationA-AgetAimportantAtestAresultsAtoAtheArightAprovidersAonAtime.
3.AUseAmedicinesAsafelyA-
AlabelAallAmeds,AaccuratelyArecordAtheApatient'sAcurrentAmedications,AandAtakeAextraAcareAwithAblo
odAthinners.
4.AUseAalarmsAsafelyA-AensureAalarmsAonAmedicalAequipmentAcanAbeAheard.
5.APreventAinfectionA-AimprovedAhandAcleaning/hygiene.
6.AIdentifyApatientAsafetyAriskA-AreduceAtheAriskAofApatientAsuicide.
7.APreventAmistakesAinAsurgeryA-
AverifyAcorrectAsurgery/patient/bodyApart,AmarkAtheAsurgicalAsiteAcorrectly,AandAtakeAaAtime-
outAbeforeAstartingAsurgery.
,DiscussAcommonAtypesAofAlegalArequestsAforAinfoAwithAwhichAtheAriskAmanagementAprofessionalAma
yAbeAservedA-AAnswerASubpoenaAducesAtecumA-
AwrittenAdocAthatArequiresAaApersonAtoAappearAatAaAparticularAtimeAandAplaceAtoAgiveAtestimonyA
asAaAwitnessAand/orAbringAwithAthemAanyAdocumentsAtoAproduceAevidence.AItAmayAbeAforAaAdepos
itionAorAforAaAtrial.
"DucesAtecum"AinALatinAmeans,A"youAshallAbringAwithAyou"AtheAevidence.
CourtAorderA-
AlegalAdocAtoAcommandAaApersonAtoAperformAaAspecificAact,AprohibitAthemAfromAtakingAaAcertainA
action,AorAsetsAcourtAdatesA(e.g.,Apleadings,AcomplaintsAandAdiscoveryArequests).
PetitionA-
AisAaApleadingAorAformalArequestAcallingAforAtheAredressAofAaAwrongAorAredressAofAgrievances.AIn
Ahealthcare,AcommonApetitionAisAaAclaimAforAdamagesAresultingAfromAmedicalAmalpractice.
DiscussAtheAtherapeuticAprivilegeAandAcompulsoryAtreatmentAexceptionsAtoAbeAinformedAconsentAproc
essA-AAnswerATheAtherapeuticAprivilegeAexceptionA-
AonlyAappliesAinAnarrowAcircumstancesAinAwhichAaAdeterminationAisAmadeAthatAdisclosingAcertainAin
formationAwouldAbeApsychologicallyAharmfulAtoAtheApatient.
AAthoroughAmedicalAassessmentAofAtheApatient'sAconditionAmustAbeAcompletedAandAdocumented.
TheAcompulsoryAtreatmentAexceptionA-
AprovidesAthatAtheAgreaterAgoodAandAhealthAofAtheAcommunityAoutweighAtheArightsAofAtheAindividu
al.AForAexample,ACOVIDApandemicAisAtheAinstitutionAofAmandatoryAmaskingArequirementsAwithoutAal
lowingAindividualsAtheAopportunityAtoAwithholdAconsent.
IdentifyAsomeAchangesAinAhealthcareAinArecentAyearsAthatAhaveAincreasedAriskAforAtheAhealthcareAor
ganizationA(partA1AofA2)A-AAnswerAEvent:AincreasedAregulatoryAoversight.
impact:ACMS,ATJC,AandAstateAhealthAagencies,AwhichArequireAcomplianceAfromAhealthcareAorganizatio
ns.
Event:AlegislativeAchangesAincludingAhealthcareAreform.
Impact:AchangesAtoAfinancialAreimbursementAforAservicesAandAaccessAtoAservices.
Event:AincreasedAemphasisAonApatientAsafety
Impact:AexpectationAthatAorgsAtakeAproactiveAmeasuresAtoAprotectApatientAsafety.
Event:AImplementationAofAEMR.
Impact:AriskAtoAcontinuityAofAinformation,Acybersecurity,AandAprotectionAofAhealthAinformation.
, Event:AchangesAinAworkforce.
Impact:Ashortage,AincludingAanAagingAworkforce.
Event:AMedicareAfraudAandAabuse.
Impact:AincreasedAgovAscrutinyAtoAprotectAMedicareAfunds.
Event:AWorkplaceAViolence.
Impact:AincreasedAprevalenceAofAviolenceAagainstAhealthcareAproviders.
IdentifyAsomeAchangesAinAhealthcareAinArecentAyearsAthatAhaveAincreasedAriskAforAtheAhealthcareAor
ganizationA(partA2AofA2)A-AAnswerAEvent:ACOVIDApandemic
Impact:AresourceAshortages,AhealthArisksAtoAproviders,AandAfinancialAlosses.
Event:AtortAreform.
Impact:AattemptingAtoAreduceAtheAnumberAandAimpactAofAmedicalAmalpracticeAclaims.
Event:AaccessAtoAcapital.
Impact:AchangesAinAfinancialAstabilityAandAviability.
Event:AagingApatientApopulationAandAincreasedAprevalenceAofAchronicAdisease.
Impact:AincreasedAuseAofAlimitedAresources.
IdentifyAspecificAriskAdomains,AandAgiveAexamplesAofAeventsAinAeachAdomainA(partA1AofA2)A-
AAnswerARiskAdomain:ApatientAcare-relatedArisks.
TypeAofAevents:A
➣Privacy/HIPAA
➣Abuse,Aneglect,Aassault
➣InformedAconsent
➣EMTALA
➣HumanAsubjectAresearchAstudies
➣HospitalAacquiredAconditions/HACs
RiskAdomain:Amedical-staffArelatedArisks