CPPS Review Course exam with correct detailed answers
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A |staff |member |discovered |a |medication |with |an |incorrect |label. |The |staff |immediately |
notified |the |pharmacist |and |the |correct |label |was |sent |prior |to |medication |administration. |
Then, |the |staff |completed |an |event |report |through |the |organization's |reporting |tool.
Which |of |the |following |actions |should |the |unit |manager |take |in |response |to |this |event?
A.) |Document |the |incident |in |the |employee's |performance |review.
B.) |Investigate |system |failures |and |recognize |the |employee |for |reporting |a |near-miss |event.
C.) |Notify |the |director |of |pharmacy |about |the |pharmacist's |error.
D.) |No |action, |since |the |incident |did |not |cause |patient |harm. |- |correct |answer |B.) |Investigate |
system |failures |and |recognize |the |employee |for |reporting |a |near-miss |event.
You |are |educating |clinical |managers |in |your |health |care |facility |on |how |to |identify |appropriate |
events |for |conducting |a |root |cause |analysis |(RCA). |Which |event |provides |the |BEST |opportunity
|for |an |RCA?
A.) |A |post-operative |patient |removes |his |own |IV, |causing |a |skin |tear |from |the |tape.
B.) |A |patient |with |no |known |allergies |experiences |an |anaphylactic |reaction |to |an |antibiotic, |
requiring |transfer |to |ICU.
C.) |The |biopsy |samples |from |a |colonoscopy |are |never |received |by |pathology |after |the |
procedure. |
D.) |In |the |last |four |months, |there |have |been |three |occurrences |of |depressed |respirations |
related |to |sedation |in |the |same |department. |- |correct |answer |C.) |The |biopsy |samples |from |a |
colonoscopy |are |never |received |by |pathology |after |the |procedure.
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:
Strongly |Agree: |16
Agree: |32
Neither |Agree |nor |Disagree: |12
,Disagree: |17
Strongly |Disagree: |3
A.) |75%
B.) |60%
C.) |25%
D.) |20% |- |correct |answer |C.) |25%The |AHRQ |Hospital |Survey |on |Patient |Safety |Culture |User |
Guide |scoring |guidance |says |to |use |the |"Strongly |Agree/Agree" |response |sum, |or, |for |
negatively |worded |items—such |as |this |one—use |the |"Strongly |Disagree/Disagree" |sum.
In |this |example, |17+3 |gives |us |the |response |sum |(i.e., |20), |which |we |divide |by |total |number |of
|respondents |(i.e., |80): |20/80 |= |25%.
What |is |one |example |of |a |communication |technique |providers |can |use |to |improve |
communication |with |patients?
A.) |SBAR
B.) |Teach-back
C.) |CUSP
D.) |Two-Challenge |Rule |- |correct |answer |B.) |Teach-back
The |Impact |of |Organizational |Change |on |Safety
What |are |the |three |steps |to |managing |patient |safety |through |organizational |change?
A.) |Monitor |change, |identify |potential |safety |implications, |and |employ |countermeasures |to |
mitigate |any |anticipated |risks
B.) |Employ |countermeasures |to |mitigate |any |anticipated |risks, |monitor |change
C.) |Identify |potential |safety |implications, |employ |countermeasures |to |mitigate |any |anticipated |
risks, |and |monitor |the |change
D.) |None |of |the |above |- |correct |answer |C.) |Identify |potential |safety |implications, |employ |
countermeasures |to |mitigate |any |anticipated |risks, |and |monitor |the |change
,What |is |the |term |which |describes |the |belief |that |one |will |not |be |punished |or |humiliated |for |
speaking |up |with |ideas, |questions, |concerns, |or |mistakes? |- |correct |answer |Psychological |
safety
A |safety-supportive |system |of |shared |accountability |in |which: |1.) |Healthcare |institutions |are |
accountable |for |safe |systems |design |and |for |encouraging |safe |choices |of |clinicians |and |staff |
(clear |expectations |set |the |tone |to |create |environment |of |mutual |respect)
2.) |Clinicians |and |staff |are |accountable |for |the |quality |of |their |choices |(i.e. |striving |to |make |the
|best |possible |choices |as |professionals) |- |correct |answer |Just |Culture
At |the |conclusion |of |a |surgical |procedure |at |your |hospital, |the |instrument |count |is |incorrect. |
The |hospital |policy |does |not |stipulate |that |the |surgeon |must |remain |on |the |premises |until |an |
x-ray |is |obtained |to |check |for |retained |foreign |objects. |By |the |time |the |x-ray |results |come |in |to
|reveal |that |there |is, |in |fact, |a |retained |instrument, |the |original |surgeon |has |left |the |hospital |to
|catch |a |flight. |Another |surgeon |is |contacted |to |remove |the |retained |instrument.
How |should |leadership |respond |to |this |event?
A.) |Revise |the |hospital |policy |to |make |it |clear |that |surgeons |must |stay |in |the |operating |room |
(OR) |until |instrument |count |issues |are |resolved.
B.) |Using |an |appropriate |accountability |system, |counsel |the |surgeon |about |customary |clinical |
standards.
C.) |Re-educate |the |OR |nursing |staff |on |keeping |track |of |instruments |on |the |sterile |field.
D.) |Create |a |process |map |of |how |instruments |are |managed |during |surgery, |looking |f |- |correct |
answer |B.) |Using |an |appropriate |accountability |system, |counsel |the |surgeon |about |customary |
clinical |standards.
This |term |reflects |a |group |of |individuals |who |understand |the |importance |of |self- |and |group- |
regulation. |- |correct |answer |Professionalism
The |human |resources |department |at |your |organization |has |asked |your |patient |safety |specialist
|for |recommendations |on |new |policies |to |help |support |safety |culture. |Which |recommendation |
sounds |best?
A.) |Sending |human |resources |all |event |data |so |that |they |can |record |involvement |in |adverse |
events |in |personnel |files
, B.) |Including |human |resources |in |all |root |cause |analyses |so |that |they |can |provide |guidance |on |
recommended |training |updates |for |staff
C.) |Implementing |routine |use |of |a |tool |to |determine |which |events |are |attributed |to |human |
error, |at-risk |behavior, |and |reckless |behavior
D.) |Implementing |routine |use |of |a |tool |to |determine |which |events |are |attributed |to |human |
error, |at-risk |behavior, |and |reckless |behavior |AND |consulting |with |human |resources |on |at-risk |
and |reckless |behavior |cases |- |correct |answer |D.) |Implementing |routine |use |of |a |tool |to |
determine |which |events |are |attributed |to |human |error, |at-risk |behavior, |and |reckless |behavior |
AND |consulting |with |human |resources |on |at-risk |and |reckless |behavior |cases
At |the |end |of |a |long, |exhausting |shift, |an |experienced |nurse |administered |the |wrong |
medication |by |picking |up |the |wrong |syringe. |The |wrong |medication |was |an |analgesic, |and |the |
patient |didn't |suffer |any |problems. |After |recalling |that |his |colleague |was |fired |last |month |over |
a |medication |error, |he |decides |not |to |file |an |incident |report.
Safety |culture |would |be |improved |if |the |hospital |provided |this |employee |with |which |of |the |
following?
A.) |Situational |awareness |training
B.) |Training |on |reporting
C.) |Psychological |safety
D.) |An |electronic |reporting |system |- |correct |answer |C.) |Psychological |safety
A |staff |nurse |at |your |hospital |fails |to |complete |a |double-check |before |administering |a |high-
alert |medication. |She |gives |the |medication |to |the |incorrect |patient, |and |the |patient |suffers |an |
arrhythmia.
When |applying |James |Reason's |unsafe |acts |algorithm, |what |is |a |strategy |to |use |prior |to |
holding |the |nurse |personally |accountable?
A.) |Perform |the |substitution |test |with |three |other |nurses.
B.) |Have |the |chief |nursing |officer |interview |with |the |nurse.
C.) |Hold |a |root |cause |analysis.
D.) |Ask |other |nurses |if |the |staff |nurse |is |trustworthy. |- |correct |answer |A.) |Perform |the |
substitution |test |with |three |other |nurses.
| | | | | | |
A |staff |member |discovered |a |medication |with |an |incorrect |label. |The |staff |immediately |
notified |the |pharmacist |and |the |correct |label |was |sent |prior |to |medication |administration. |
Then, |the |staff |completed |an |event |report |through |the |organization's |reporting |tool.
Which |of |the |following |actions |should |the |unit |manager |take |in |response |to |this |event?
A.) |Document |the |incident |in |the |employee's |performance |review.
B.) |Investigate |system |failures |and |recognize |the |employee |for |reporting |a |near-miss |event.
C.) |Notify |the |director |of |pharmacy |about |the |pharmacist's |error.
D.) |No |action, |since |the |incident |did |not |cause |patient |harm. |- |correct |answer |B.) |Investigate |
system |failures |and |recognize |the |employee |for |reporting |a |near-miss |event.
You |are |educating |clinical |managers |in |your |health |care |facility |on |how |to |identify |appropriate |
events |for |conducting |a |root |cause |analysis |(RCA). |Which |event |provides |the |BEST |opportunity
|for |an |RCA?
A.) |A |post-operative |patient |removes |his |own |IV, |causing |a |skin |tear |from |the |tape.
B.) |A |patient |with |no |known |allergies |experiences |an |anaphylactic |reaction |to |an |antibiotic, |
requiring |transfer |to |ICU.
C.) |The |biopsy |samples |from |a |colonoscopy |are |never |received |by |pathology |after |the |
procedure. |
D.) |In |the |last |four |months, |there |have |been |three |occurrences |of |depressed |respirations |
related |to |sedation |in |the |same |department. |- |correct |answer |C.) |The |biopsy |samples |from |a |
colonoscopy |are |never |received |by |pathology |after |the |procedure.
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:
Strongly |Agree: |16
Agree: |32
Neither |Agree |nor |Disagree: |12
,Disagree: |17
Strongly |Disagree: |3
A.) |75%
B.) |60%
C.) |25%
D.) |20% |- |correct |answer |C.) |25%The |AHRQ |Hospital |Survey |on |Patient |Safety |Culture |User |
Guide |scoring |guidance |says |to |use |the |"Strongly |Agree/Agree" |response |sum, |or, |for |
negatively |worded |items—such |as |this |one—use |the |"Strongly |Disagree/Disagree" |sum.
In |this |example, |17+3 |gives |us |the |response |sum |(i.e., |20), |which |we |divide |by |total |number |of
|respondents |(i.e., |80): |20/80 |= |25%.
What |is |one |example |of |a |communication |technique |providers |can |use |to |improve |
communication |with |patients?
A.) |SBAR
B.) |Teach-back
C.) |CUSP
D.) |Two-Challenge |Rule |- |correct |answer |B.) |Teach-back
The |Impact |of |Organizational |Change |on |Safety
What |are |the |three |steps |to |managing |patient |safety |through |organizational |change?
A.) |Monitor |change, |identify |potential |safety |implications, |and |employ |countermeasures |to |
mitigate |any |anticipated |risks
B.) |Employ |countermeasures |to |mitigate |any |anticipated |risks, |monitor |change
C.) |Identify |potential |safety |implications, |employ |countermeasures |to |mitigate |any |anticipated |
risks, |and |monitor |the |change
D.) |None |of |the |above |- |correct |answer |C.) |Identify |potential |safety |implications, |employ |
countermeasures |to |mitigate |any |anticipated |risks, |and |monitor |the |change
,What |is |the |term |which |describes |the |belief |that |one |will |not |be |punished |or |humiliated |for |
speaking |up |with |ideas, |questions, |concerns, |or |mistakes? |- |correct |answer |Psychological |
safety
A |safety-supportive |system |of |shared |accountability |in |which: |1.) |Healthcare |institutions |are |
accountable |for |safe |systems |design |and |for |encouraging |safe |choices |of |clinicians |and |staff |
(clear |expectations |set |the |tone |to |create |environment |of |mutual |respect)
2.) |Clinicians |and |staff |are |accountable |for |the |quality |of |their |choices |(i.e. |striving |to |make |the
|best |possible |choices |as |professionals) |- |correct |answer |Just |Culture
At |the |conclusion |of |a |surgical |procedure |at |your |hospital, |the |instrument |count |is |incorrect. |
The |hospital |policy |does |not |stipulate |that |the |surgeon |must |remain |on |the |premises |until |an |
x-ray |is |obtained |to |check |for |retained |foreign |objects. |By |the |time |the |x-ray |results |come |in |to
|reveal |that |there |is, |in |fact, |a |retained |instrument, |the |original |surgeon |has |left |the |hospital |to
|catch |a |flight. |Another |surgeon |is |contacted |to |remove |the |retained |instrument.
How |should |leadership |respond |to |this |event?
A.) |Revise |the |hospital |policy |to |make |it |clear |that |surgeons |must |stay |in |the |operating |room |
(OR) |until |instrument |count |issues |are |resolved.
B.) |Using |an |appropriate |accountability |system, |counsel |the |surgeon |about |customary |clinical |
standards.
C.) |Re-educate |the |OR |nursing |staff |on |keeping |track |of |instruments |on |the |sterile |field.
D.) |Create |a |process |map |of |how |instruments |are |managed |during |surgery, |looking |f |- |correct |
answer |B.) |Using |an |appropriate |accountability |system, |counsel |the |surgeon |about |customary |
clinical |standards.
This |term |reflects |a |group |of |individuals |who |understand |the |importance |of |self- |and |group- |
regulation. |- |correct |answer |Professionalism
The |human |resources |department |at |your |organization |has |asked |your |patient |safety |specialist
|for |recommendations |on |new |policies |to |help |support |safety |culture. |Which |recommendation |
sounds |best?
A.) |Sending |human |resources |all |event |data |so |that |they |can |record |involvement |in |adverse |
events |in |personnel |files
, B.) |Including |human |resources |in |all |root |cause |analyses |so |that |they |can |provide |guidance |on |
recommended |training |updates |for |staff
C.) |Implementing |routine |use |of |a |tool |to |determine |which |events |are |attributed |to |human |
error, |at-risk |behavior, |and |reckless |behavior
D.) |Implementing |routine |use |of |a |tool |to |determine |which |events |are |attributed |to |human |
error, |at-risk |behavior, |and |reckless |behavior |AND |consulting |with |human |resources |on |at-risk |
and |reckless |behavior |cases |- |correct |answer |D.) |Implementing |routine |use |of |a |tool |to |
determine |which |events |are |attributed |to |human |error, |at-risk |behavior, |and |reckless |behavior |
AND |consulting |with |human |resources |on |at-risk |and |reckless |behavior |cases
At |the |end |of |a |long, |exhausting |shift, |an |experienced |nurse |administered |the |wrong |
medication |by |picking |up |the |wrong |syringe. |The |wrong |medication |was |an |analgesic, |and |the |
patient |didn't |suffer |any |problems. |After |recalling |that |his |colleague |was |fired |last |month |over |
a |medication |error, |he |decides |not |to |file |an |incident |report.
Safety |culture |would |be |improved |if |the |hospital |provided |this |employee |with |which |of |the |
following?
A.) |Situational |awareness |training
B.) |Training |on |reporting
C.) |Psychological |safety
D.) |An |electronic |reporting |system |- |correct |answer |C.) |Psychological |safety
A |staff |nurse |at |your |hospital |fails |to |complete |a |double-check |before |administering |a |high-
alert |medication. |She |gives |the |medication |to |the |incorrect |patient, |and |the |patient |suffers |an |
arrhythmia.
When |applying |James |Reason's |unsafe |acts |algorithm, |what |is |a |strategy |to |use |prior |to |
holding |the |nurse |personally |accountable?
A.) |Perform |the |substitution |test |with |three |other |nurses.
B.) |Have |the |chief |nursing |officer |interview |with |the |nurse.
C.) |Hold |a |root |cause |analysis.
D.) |Ask |other |nurses |if |the |staff |nurse |is |trustworthy. |- |correct |answer |A.) |Perform |the |
substitution |test |with |three |other |nurses.
