CPHQ Practice Exam Questions with Correct Answers Healthcare Quality
Certification Exam Preparation Material | 2026/2027 Update | Grade A+
omission - ANSWER failing to do the right thing; not doing something you should have done.
commission - ANSWER doing something wrong; doing something that should not have been done
3 types of Quality Issues - ANSWER 1) Underuse of care - pt not receiving beneficial services
2)Overuse of care - pt receiving txmnt without benefit
3) Misuse - pt receive appropriate but poorly provided service putting them at risk of complications
FMEA - ANSWER Failure Mode and Effects Analysis
FMEA Steps - ANSWER 1) define topic and process to be studied
2) convene ID team with content and process experts
3) develop flow diagram of process and sub-process
4) list all possible failure modes of each sub-processes (adverse outcomes, risk rating for each effect
with severity, frequency, and detection - risk assessment)
5) determine action for each failure mode to eliminate, control, or accept
6) ID corresponding outcome measure to test the redesigned process
TJC RCA Factors - ANSWER 1) Anesthesia Care
2) Care Planning
3) Communication
4) Continuum of Care
5) Human Factors
6) Information management
7) Leadership
8) Medication use
9) Nutrition Care
10) Physical Environment
, 11) Rehabilitation
12) Special Interventions
13) Surveillance, Prevention and Control of Infection
14) Operative Care
15) Pt Education
16) Pt Rights
17) Performance Improvement
Quality Roles in Pt Safety - ANSWER 1) Incident Report Review
2) Sentinel/Unexpected Event Review
3) Pt Safety Goals
4) Pt Safety Improvement Team
Risk Management - ANSWER The process of making and implementing decisions that will minimize
the adverse effects of accidental losses on an organization
sentinel event indicator - ANSWER serious events that require further investigation each time it
occurs; undesirable but avoidable events; either always want it to happen or never; threshold of
either 0% or 100%
Root Analysis - ANSWER conducted after significant near miss
FMEA (Failure Mode and Effects Analysis) should be conducted - ANSWER PROACTIVE, systematic
method of id and preventing incidents from occurring; examines severity and likelihood of
occurrence; with new technology, process, or equipment
When should a Safety Improvement Team should be started? - ANSWER Potentially with each
sentinel event, FMEA, & root analysis
Risk Management Process - ANSWER 1) ID exposure to accident loss
2) Examine Risk mgmt techniques to reduce or eliminate
3) select best technique
4) Implement with action plan
Certification Exam Preparation Material | 2026/2027 Update | Grade A+
omission - ANSWER failing to do the right thing; not doing something you should have done.
commission - ANSWER doing something wrong; doing something that should not have been done
3 types of Quality Issues - ANSWER 1) Underuse of care - pt not receiving beneficial services
2)Overuse of care - pt receiving txmnt without benefit
3) Misuse - pt receive appropriate but poorly provided service putting them at risk of complications
FMEA - ANSWER Failure Mode and Effects Analysis
FMEA Steps - ANSWER 1) define topic and process to be studied
2) convene ID team with content and process experts
3) develop flow diagram of process and sub-process
4) list all possible failure modes of each sub-processes (adverse outcomes, risk rating for each effect
with severity, frequency, and detection - risk assessment)
5) determine action for each failure mode to eliminate, control, or accept
6) ID corresponding outcome measure to test the redesigned process
TJC RCA Factors - ANSWER 1) Anesthesia Care
2) Care Planning
3) Communication
4) Continuum of Care
5) Human Factors
6) Information management
7) Leadership
8) Medication use
9) Nutrition Care
10) Physical Environment
, 11) Rehabilitation
12) Special Interventions
13) Surveillance, Prevention and Control of Infection
14) Operative Care
15) Pt Education
16) Pt Rights
17) Performance Improvement
Quality Roles in Pt Safety - ANSWER 1) Incident Report Review
2) Sentinel/Unexpected Event Review
3) Pt Safety Goals
4) Pt Safety Improvement Team
Risk Management - ANSWER The process of making and implementing decisions that will minimize
the adverse effects of accidental losses on an organization
sentinel event indicator - ANSWER serious events that require further investigation each time it
occurs; undesirable but avoidable events; either always want it to happen or never; threshold of
either 0% or 100%
Root Analysis - ANSWER conducted after significant near miss
FMEA (Failure Mode and Effects Analysis) should be conducted - ANSWER PROACTIVE, systematic
method of id and preventing incidents from occurring; examines severity and likelihood of
occurrence; with new technology, process, or equipment
When should a Safety Improvement Team should be started? - ANSWER Potentially with each
sentinel event, FMEA, & root analysis
Risk Management Process - ANSWER 1) ID exposure to accident loss
2) Examine Risk mgmt techniques to reduce or eliminate
3) select best technique
4) Implement with action plan
