CPPS FINAL EXAMS WITH QUESTIONS AND CORRECT
ANSWERS
executive sponsor
"Barrier Buster"
The person or group who provides the financial resources for the project
Regulator
Provide public oversight of healthcare entities and providers
Name the 6 Major Regulators of Healthcare
CMS: Sets minimum standard for $$$
Joint Commission: Accreditation
NAM: Objective health information
NQF: Endorses national standard for science
IHI: Improvement science to advance better health outcomes
Sentinel event
unexpected occurrence involving death or serious injury (temporary or permanent)
Senior Executive Adopt-a-Work Unit
pair a hospital executive with a work unit to help them with safety issues
Situational Awareness
Knowledge and understanding of your surroundings and situation and the risk they potentially
pose to your safety
ROI equation
savings/investment x 100
, RPN equation
severity x likelihood of UNdetectability x likelihood to happen
what makes an RCA credible?
varied participants
internally consistent
explains "N/A" or "No problem"
when to use the 5 why's
to get to the root cause
Hierarchy of Improvement Strategies
Education < Rules/Policies < Checklists < Standardization < Automation < Forcing Function
RCA Steps and Phases
Initiation Phase
ID event
Select team
Screening Phase
Describe what happened
Analysis Phase
ID contributing factors
ID root causes
Design and implement plan
Monitoring Phase
Measure success of plan
biggest pitfall of RCA
ANSWERS
executive sponsor
"Barrier Buster"
The person or group who provides the financial resources for the project
Regulator
Provide public oversight of healthcare entities and providers
Name the 6 Major Regulators of Healthcare
CMS: Sets minimum standard for $$$
Joint Commission: Accreditation
NAM: Objective health information
NQF: Endorses national standard for science
IHI: Improvement science to advance better health outcomes
Sentinel event
unexpected occurrence involving death or serious injury (temporary or permanent)
Senior Executive Adopt-a-Work Unit
pair a hospital executive with a work unit to help them with safety issues
Situational Awareness
Knowledge and understanding of your surroundings and situation and the risk they potentially
pose to your safety
ROI equation
savings/investment x 100
, RPN equation
severity x likelihood of UNdetectability x likelihood to happen
what makes an RCA credible?
varied participants
internally consistent
explains "N/A" or "No problem"
when to use the 5 why's
to get to the root cause
Hierarchy of Improvement Strategies
Education < Rules/Policies < Checklists < Standardization < Automation < Forcing Function
RCA Steps and Phases
Initiation Phase
ID event
Select team
Screening Phase
Describe what happened
Analysis Phase
ID contributing factors
ID root causes
Design and implement plan
Monitoring Phase
Measure success of plan
biggest pitfall of RCA
