CPPS Exam with complete solutions

CPPS Exam with complete solutions Retrospective Integration Designing education-based strategies to mitigate identified risks Clinical transformation care that is consistently (6 things).... Safe. Effective. Patient Centered. Timely. Efficient. Equitable. Safety Prevention/moderation of hazard (induced harm) Unsafe Acts An act that is not safe for an employee. Human error. (slips, lapses, mistakes, violations) The Safety Assessment Code (SAC) Matrix When a severity category is paired with probability category - a ranked matrix score results. Ranks can be used for analysis and deciding who needs to be notified about the event. Errors can occure because of 2 types of failures... 1.) Action did not go as intended. 2.) intended action was wrong PDSA Cycle Plan, Do, Study, Act. Shorthand for testing a change. Going through the 4 steps guides the thinking process. Breaks down the task and then allows evaluation of the outcome, improving it and testing again. Development Philosophy Education based (10%) - training, workshops Relationship based (20%) - Role models, coaching Experience based (30%) - Development in role Strategies to error-proof high-risk transitions...(2) Improve handoffs in care Medication reconciliation Model for Improvement - 3 fundamental questions organizations must address for each process being improved 1.) How will we know that a change is an improvement? 2.) What changes can we make that will result in an improvement? 3.) What are we trying to accomplish? Behaviors that undermine a culture of safety... 1.) interfere with ability to achieve intended outcomes 2.) threaten safety 3.) violate policies 4.) create unsafe environment Lean Management Method (Toyota Production) Creates smooth patient workflows Eliminates wast in time/effort/resources Provides services patients find valuable Aims to continuous increase operational processes to achieve quality services and promote productive culture A particularly effective system lacks standardization & waste (very common) Sharp end The individuals and part of the healthcare system in direct contact with patients Corresponds with errors from "active failures" Blunt end Refers to layers of the healthcare system not in direct contact with patients Influences the "sharp end" Refers to those who set policy, manage, design equipment...etc.