CPPS Practice Exam Culture with correct answers.

CPPS Practice Exam Culture with correct answers
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A |hospital |is |using |the |AHRQ |Hospital |Survey |on |Patient |Safety |Culture. |There |were |80 |
employees |who |responded. |Responses |to |the |survey |item |that |states |"we |have |patient |safety |
problems |in |this |unit" |were |as |follows: |



Response |# |of |Respondents

Strongly |Agree |16 |

Agree |32

Neither |Agree |nor |Disagree |12

Disagree |17

Strongly |Disagree |3

What |is |the |Percent |Positive |Score |that |should |be |reported |for |this |item? |



A. |75%

B. |60%

C. |25%

D. |20% |- |correct |answer |C. |25%



To |improve |culture |of |safety |survey |results, |an |organization |should:

a) |Offer |coaching |and |apply |Just |Culture |principles |to |leaders |in |lower |performing |areas

b) |Acknowledge |and |celebrate |high |performing |areas |in |front |of |leadership

c) |Perform |root |cause |analysis |on |underperforming |units |to |better |understand |their |results

d) |Identify |best |practice |in |high |performing |units |and |disseminate |to |other |settings |- |correct |
answer |d) |Identify |best |practice |in |high |performing |units |and |disseminate |to |other |settings



The |human |resource |department |asked |the |patient |safety |specialist |for |recommendations |on |
new |policies |to |help |support |safety |culture. |The |recommendation |that |best |promotes |a |
culture |of |safety |is:

, a) |Sending |human |resources |all |event |data |so |they |can |record |involvement |in |adverse |events |
in |personnel |files

b) |Including |human |resources |in |all |root |cause |analyses |so |they |can |provide |guidance |on |
recommended |training |updates |for |staff

c) |Implementation |of |routine |use |of |a |tool |to |determine |which |events |are |attributed |to |human
|error, |at |risk |behavior, |and |reckless |behavior



d) |Implementation |of |routine |use |of |a |tool |to |determine |which |events |are |attributed |to |
human |error, |at |risk |behavior, |and |reckless |behavior |and |consult |with |human |resources |on |risk
|and |reckless |behavior |cases |- |correct |answer |d) |Implementation |of |routine |use |of |a |tool |to |


determine |which |events |are |attributed |to |human |error, |at |risk |behavior, |and |reckless |behavior |
and |consult |with |human |resources |on |risk |and |reckless |behavior |cases



4. |In |which |of |the |following |activities |would |a |patient |safety |specialist |engage |to |promote |a |
culture |of |safety?

a) |Review |annual |data |on |defects |and |successes

b) |Instruct |team |members |to |act |in |a |safe |and |respectful |manner

c) |Apply |best |evidence |with |the |goal |of |failure |free |operation |over |time

d) |Focus |on |a |list |of |projects |identified |by |senior |stakeholders |- |correct |answer |c) |Apply |best |
evidence |with |the |goal |of |failure |free |operation |over |time



5. |A |staff |nurse |administers |a |high |alert |medication |requiring |a |double |check, |per |policy, |to |
the |incorrect |patient |and |the |patient |suffers |an |arrhythmia. |When |reviewing |James |Reason's |
unsafe |acts |algorithm, |what |is |a |strategy |to |use |prior |to |holding |the |nurse |personally |
accountable?

a) |Have |the |chief |nursing |officer |interview |the |nurse

b) |Hold |a |root |cause |analysis

c) |Perform |the |substitution |test |with |three |other |nurses

d) |Ask |other |nurses |if |the |staff |nurse |is |trustworthy |- |correct |answer |c) |Perform |the |
substitution |test |with |three |other |nurses



A |first |step |in |changing |the |culture |of |safety |in |a |healthcare |organization |is:

a) |Hire |a |strong, |experienced |patient |safety |officer