CPPS IHI Practice Exam with verified answers
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In |preparation |for |new |antimicrobial |stewardship |regulatory |requirements, |a |hospital |is |
creating |an |antimicrobial |stewardship |committee. |What |should |be |the |first |step |in |supporting |
this |new |patient |safety |initiative?
A. |Reach |out |to |subject |matter |experts |to |gain |insight |on |different |compliance |issues.
B. |Work |with |information |technology |(IT) |to |build |antibiotic |indication |and |time-out |screens.
C. |Partner |with |key |stakeholders |to |perform |a |gap |analysis |of |current |state |to |ideal |state.
D. |Review |the |past |year's |data |to |identify |the |most |commonly |grown |pathogens. |- |correct |
answer |C. |Partner |with |key |stakeholders |to |perform |a |gap |analysis |of |current |state |to |ideal |
state.
After |implementing |a |new |product |recall |system, |a |hospital |was |alerted |to |a |high-risk |
medication |recall. |This |medication |is |in |stock |in |the |emergency |department |and |oncology |unit.
|To |ensure |the |effectiveness |of |the |new |system, |a |patient |safety |professional |should:
A. |require |individual |departments |to |verify |that |a |search |for |the |recalled |medication |was |
performed.
B. |ensure |an |on-site |visit |verifies |that |the |recalled |medication |was |sequestered.
C. |reconcile |the |number |of |doses |administered |to |the |number |of |doses |purchased.
D. |notify |the |affected |units |via |fax |to |remove |recalled |meds |and |to |post |recall |notices |in |the |
units |- |correct |answer |B. |ensure |an |on-site |visit |verifies |that |the |recalled |medication |was |
sequestered.
An |organization |is |implementing |a |standardized |surgical |safety |checklist |and |encounters |
resistance |from |the |perioperative |staff. |To |improve |staff |engagement, |a |patient |safety |
professional |should:
A. |prepare |a |business |case |for |the |implementation |of |the |checklist.
B. |present |evidence |that |checklist |use |reduces |practice |variability.
C. |assure |staff |that |anesthesia |is |responsible |for |the |checklist.
D. |delegate |checklist |enforcement |to |nursing. |- |correct |answer |B. |present |evidence |that |
checklist |use |reduces |practice |variability.
,An |organization |has |achieved |92% |compliance |with |a |process |measure. |The |patient |safety |
professional |believes |that |the |processes |in |place |are |not |reliable |or |that |the |results |are |
attributable |to |luck. |Which |of |the |following |best |describes |this |characteristic?
A. |appreciative |inquiry
B. |commitment |to |resilience
C. |deference |to |expertise
D. |preoccupation |with |failure |- |correct |answer |D. |preoccupation |with |failure
A |just |culture |framework |provides |a |means |to |address |behaviors |that |undermine |a |culture |of |
safety |because
A. |single |outbursts |are |differentiated |from |consciously |chosen |acts.
B. |preservation |of |highly |valued |team |members |is |a |primary |goal.
C. |the |evaluative |process |does |not |consider |personal |performance-shaping |factors.
D. |the |organizational |response |to |investigated |events |is |independent |of |patient |outcome. |- |
correct |answer |D. |the |organizational |response |to |investigated |events |is |independent |of |patient
|outcome.
In |process |improvement, |reducing |variation |improves
A. |predictability |of |outcomes.
B. |patient |care |processes.
C. |frequency |of |poor |results.
D. |reluctance |to |simplify. |- |correct |answer |A. |predictability |of |outcomes.
When |creating |action |plans, |which |of |the |following |solutions |would |be |considered |the |
weakest?
A. |visible |involvement |and |action |by |leadership
B. |standardizing |processes |as |much |as |possible
C. |creating |access |barriers |to |high-risk |medications
,D. |use |of |color-coded |labels |that |are |readily |seen |by |staff |- |correct |answer |D. |use |of |color-
coded |labels |that |are |readily |seen |by |staff
Which |of |the |following |is |emphasized |in |crew |resource |management?
A. |care |standards
B. |team |leadership
C. |caregiver |burnout
D. |health |literacy |- |correct |answer |B. |team |leadership
10.
As |a |result |of |an |adverse |drug |event, |a |patient |required |renal |dialysis. |A |patient |safety |
professional |and |other |leaders |are |discussing |what |to |disclose |to |the |patient. |In |addition |to |an
|apology, |critical |components |of |disclosure |include
A. |a |commitment |to |investigate |what |happened |and |how |future |errors |will |be |prevented.
B. |who |was |involved, |when |it |happened, |and |how |often |medication |errors |occur.
C. |plans |for |staff |disciplinary |action, |physician |disciplinary |action, |and |a |plan |for |education.
D. |history |of |pharmacy |transcription |errors, |and |the |plan |to |implement |an |electronic |health |
record. |- |correct |answer |A. |a |commitment |to |investigate |what |happened |and |how |future |
errors |will |be |prevented.
Results |from |recent |tests |were |not |included |in |a |patient |transfer |from |one |facility |to |another, |
resulting |in |an |adverse |event. |Which |of |the |following |is |the |most |common |cause |of |this |type |
of |harm?
A. |inadequate |information |flow
B. |inattentional |blindness
C. |normalized |deviance
D. |insufficient |staffing |- |correct |answer |A. |inadequate |information |flow
A |healthcare |organization |is |introducing |a |new |medication |administration |barcoding |system. |
Which |of |the |following |is |the |most |significant |indicator |of |successful |implementation?
A. |order |accuracy |for |high-risk |medications
, B. |bar |code |scanning |compliance
C. |nursing |bar |coding |knowledge
D. |bar |coding |performance |goal |setting |- |correct |answer |B. |bar |code |scanning |compliance
A |manager |demonstrates |adherence |to |the |principles |of |a |just |culture |by |applying |which |of |
the |following |types |of |decision-making |frameworks?
A. |harm-based
B. |outcome-focused
C. |equity-focused
D. |risk-based |- |correct |answer |D. |risk-based
When |interpreting |data |after |a |safety |event, |which |of |the |following |is |true?
A. |Identifying |human |error |results |in |a |deep |understanding |of |the |event |and |its |causes.
B. |Comparing |actions |taken |to |procedures |and |rules |will |explain |the |behaviors |during |the |
event.
C. |The |outcome |of |the |event |has |no |influence |on |the |interpretation |or |conclusions.
D. |Causes |are |constructed |from |the |investigation |and |analysis. |- |correct |answer |D. |Causes |are |
constructed |from |the |investigation |and |analysis.
As |a |member |of |an |improvement |team |focused |on |standardizing |surgical |protocols, |the |
patient |safety |professional |recognizes |that |one |concern |clinicians |may |raise |is:
A. |improved |supply |chain |management.
B. |increased |amount |of |waste.
C. |depersonalized |care.
D. |increased |length |of |stay. |- |correct |answer |C. |depersonalized |care.
When |healthcare |providers |are |involved |in |an |adverse |event, |it |is |important |to |first
A. |conduct |an |objective |root |cause |analysis.
B. |offer |guidance |and |emotional |support.
| | | | | |
In |preparation |for |new |antimicrobial |stewardship |regulatory |requirements, |a |hospital |is |
creating |an |antimicrobial |stewardship |committee. |What |should |be |the |first |step |in |supporting |
this |new |patient |safety |initiative?
A. |Reach |out |to |subject |matter |experts |to |gain |insight |on |different |compliance |issues.
B. |Work |with |information |technology |(IT) |to |build |antibiotic |indication |and |time-out |screens.
C. |Partner |with |key |stakeholders |to |perform |a |gap |analysis |of |current |state |to |ideal |state.
D. |Review |the |past |year's |data |to |identify |the |most |commonly |grown |pathogens. |- |correct |
answer |C. |Partner |with |key |stakeholders |to |perform |a |gap |analysis |of |current |state |to |ideal |
state.
After |implementing |a |new |product |recall |system, |a |hospital |was |alerted |to |a |high-risk |
medication |recall. |This |medication |is |in |stock |in |the |emergency |department |and |oncology |unit.
|To |ensure |the |effectiveness |of |the |new |system, |a |patient |safety |professional |should:
A. |require |individual |departments |to |verify |that |a |search |for |the |recalled |medication |was |
performed.
B. |ensure |an |on-site |visit |verifies |that |the |recalled |medication |was |sequestered.
C. |reconcile |the |number |of |doses |administered |to |the |number |of |doses |purchased.
D. |notify |the |affected |units |via |fax |to |remove |recalled |meds |and |to |post |recall |notices |in |the |
units |- |correct |answer |B. |ensure |an |on-site |visit |verifies |that |the |recalled |medication |was |
sequestered.
An |organization |is |implementing |a |standardized |surgical |safety |checklist |and |encounters |
resistance |from |the |perioperative |staff. |To |improve |staff |engagement, |a |patient |safety |
professional |should:
A. |prepare |a |business |case |for |the |implementation |of |the |checklist.
B. |present |evidence |that |checklist |use |reduces |practice |variability.
C. |assure |staff |that |anesthesia |is |responsible |for |the |checklist.
D. |delegate |checklist |enforcement |to |nursing. |- |correct |answer |B. |present |evidence |that |
checklist |use |reduces |practice |variability.
,An |organization |has |achieved |92% |compliance |with |a |process |measure. |The |patient |safety |
professional |believes |that |the |processes |in |place |are |not |reliable |or |that |the |results |are |
attributable |to |luck. |Which |of |the |following |best |describes |this |characteristic?
A. |appreciative |inquiry
B. |commitment |to |resilience
C. |deference |to |expertise
D. |preoccupation |with |failure |- |correct |answer |D. |preoccupation |with |failure
A |just |culture |framework |provides |a |means |to |address |behaviors |that |undermine |a |culture |of |
safety |because
A. |single |outbursts |are |differentiated |from |consciously |chosen |acts.
B. |preservation |of |highly |valued |team |members |is |a |primary |goal.
C. |the |evaluative |process |does |not |consider |personal |performance-shaping |factors.
D. |the |organizational |response |to |investigated |events |is |independent |of |patient |outcome. |- |
correct |answer |D. |the |organizational |response |to |investigated |events |is |independent |of |patient
|outcome.
In |process |improvement, |reducing |variation |improves
A. |predictability |of |outcomes.
B. |patient |care |processes.
C. |frequency |of |poor |results.
D. |reluctance |to |simplify. |- |correct |answer |A. |predictability |of |outcomes.
When |creating |action |plans, |which |of |the |following |solutions |would |be |considered |the |
weakest?
A. |visible |involvement |and |action |by |leadership
B. |standardizing |processes |as |much |as |possible
C. |creating |access |barriers |to |high-risk |medications
,D. |use |of |color-coded |labels |that |are |readily |seen |by |staff |- |correct |answer |D. |use |of |color-
coded |labels |that |are |readily |seen |by |staff
Which |of |the |following |is |emphasized |in |crew |resource |management?
A. |care |standards
B. |team |leadership
C. |caregiver |burnout
D. |health |literacy |- |correct |answer |B. |team |leadership
10.
As |a |result |of |an |adverse |drug |event, |a |patient |required |renal |dialysis. |A |patient |safety |
professional |and |other |leaders |are |discussing |what |to |disclose |to |the |patient. |In |addition |to |an
|apology, |critical |components |of |disclosure |include
A. |a |commitment |to |investigate |what |happened |and |how |future |errors |will |be |prevented.
B. |who |was |involved, |when |it |happened, |and |how |often |medication |errors |occur.
C. |plans |for |staff |disciplinary |action, |physician |disciplinary |action, |and |a |plan |for |education.
D. |history |of |pharmacy |transcription |errors, |and |the |plan |to |implement |an |electronic |health |
record. |- |correct |answer |A. |a |commitment |to |investigate |what |happened |and |how |future |
errors |will |be |prevented.
Results |from |recent |tests |were |not |included |in |a |patient |transfer |from |one |facility |to |another, |
resulting |in |an |adverse |event. |Which |of |the |following |is |the |most |common |cause |of |this |type |
of |harm?
A. |inadequate |information |flow
B. |inattentional |blindness
C. |normalized |deviance
D. |insufficient |staffing |- |correct |answer |A. |inadequate |information |flow
A |healthcare |organization |is |introducing |a |new |medication |administration |barcoding |system. |
Which |of |the |following |is |the |most |significant |indicator |of |successful |implementation?
A. |order |accuracy |for |high-risk |medications
, B. |bar |code |scanning |compliance
C. |nursing |bar |coding |knowledge
D. |bar |coding |performance |goal |setting |- |correct |answer |B. |bar |code |scanning |compliance
A |manager |demonstrates |adherence |to |the |principles |of |a |just |culture |by |applying |which |of |
the |following |types |of |decision-making |frameworks?
A. |harm-based
B. |outcome-focused
C. |equity-focused
D. |risk-based |- |correct |answer |D. |risk-based
When |interpreting |data |after |a |safety |event, |which |of |the |following |is |true?
A. |Identifying |human |error |results |in |a |deep |understanding |of |the |event |and |its |causes.
B. |Comparing |actions |taken |to |procedures |and |rules |will |explain |the |behaviors |during |the |
event.
C. |The |outcome |of |the |event |has |no |influence |on |the |interpretation |or |conclusions.
D. |Causes |are |constructed |from |the |investigation |and |analysis. |- |correct |answer |D. |Causes |are |
constructed |from |the |investigation |and |analysis.
As |a |member |of |an |improvement |team |focused |on |standardizing |surgical |protocols, |the |
patient |safety |professional |recognizes |that |one |concern |clinicians |may |raise |is:
A. |improved |supply |chain |management.
B. |increased |amount |of |waste.
C. |depersonalized |care.
D. |increased |length |of |stay. |- |correct |answer |C. |depersonalized |care.
When |healthcare |providers |are |involved |in |an |adverse |event, |it |is |important |to |first
A. |conduct |an |objective |root |cause |analysis.
B. |offer |guidance |and |emotional |support.
