CPPS IHI PRACTICE EXAM 2026 EXAM SCRIPT
COMPLETE SOLUTIONS
◉ Which of the following is most useful in illustrating inefficiency
and waste in a process?
A. fishbone diagram
B. control chart
C. spaghetti chart
D. Pareto diagram Answer: C. spaghetti chart
◉ Measurement of hospital-acquired pressure injuries would be an
example of
A. an outcome measure.
B. a process measure.
C. a balance measure.
D. an evidence-based measure. Answer: A. an outcome measure.
◉ What type of organization recognizes and respects that
information can come from any source within the organization and
that each reporter has a valuable perspective?
A. highly reliable
B. diverse
,C. patient-centered
D. interdisciplinary Answer: A. highly reliable
◉ From a human factors engineering perspective, which of the
following should beknown about identifying and eliminating
diagnostic errors?
A. Diagnostic errors are the result of cognitive biases and failures by
clinicians.
B. Partnership with scientists in cognition, perception, and decision
making is needed.
C. An effective strategy to reduce diagnostic errors is the use of
checklists.
D. Attribution of diagnostic errors is not subject to either hindsight
or outcome biases. Answer: B. Partnership with scientists in
cognition, perception, and decision making is needed.
◉ Which of the following would best demonstrate non-random
process variation over time?
A. histogram
B. control chart
C. run chart
D. pie chart Answer: B. control chart
,◉ A patient safety professional is leading a process improvement
team to enhance communication hand-offs between hospital units.
Which of the following is the best question to ask at the first team
meeting?
A. "What process change should be the focus?"
B. "When should direct observations begin?"
C. "What are we trying to accomplish?"
D. "When should we spread best practices?" Answer: C. "What are
we trying to accomplish?"
◉ Which of the following is most important in building a culture of
safety?
A. measuring safety outcomes
B. addressing burnout
C. establishing shared values
D. utilizing electronic health records Answer: C. establishing shared
values
◉ A practitioner reads a groundbreaking study on a condition seen
frequently in their practice. Coincidentally, the next patient that the
practitioner sees has symptoms commonly seen with that condition.
Which of the following biases or heuristics best describes this
phenomena?
A. anchoring
, B. availability
C. premature closure
D. risk aversion Answer: B. availability
◉ While investigating a near miss medication event, a manager
identifies a pattern of work arounds by a clinician that violates
policies and procedures. To determine accountability, the manager's
next step should be to
A. conduct a focus group with work area staff.
B. perform a substitution test.
C. escalate the workarounds to leadership.
D. amend procedures to support the workarounds. Answer: B.
perform a substitution test.
◉ A physician is planning to discharge a patient. The nurse knew
that the patient needed additional equipment at home. Together
they reached out to the social worker and discharge planner for a
safe care transition. Which feature of the culture of safety did they
practice?
A. activation of transfer protocols
B. utilization of open communication
C. measurement of patient safety
D. ensuring health literacy Answer: B. utilization of open
communication
COMPLETE SOLUTIONS
◉ Which of the following is most useful in illustrating inefficiency
and waste in a process?
A. fishbone diagram
B. control chart
C. spaghetti chart
D. Pareto diagram Answer: C. spaghetti chart
◉ Measurement of hospital-acquired pressure injuries would be an
example of
A. an outcome measure.
B. a process measure.
C. a balance measure.
D. an evidence-based measure. Answer: A. an outcome measure.
◉ What type of organization recognizes and respects that
information can come from any source within the organization and
that each reporter has a valuable perspective?
A. highly reliable
B. diverse
,C. patient-centered
D. interdisciplinary Answer: A. highly reliable
◉ From a human factors engineering perspective, which of the
following should beknown about identifying and eliminating
diagnostic errors?
A. Diagnostic errors are the result of cognitive biases and failures by
clinicians.
B. Partnership with scientists in cognition, perception, and decision
making is needed.
C. An effective strategy to reduce diagnostic errors is the use of
checklists.
D. Attribution of diagnostic errors is not subject to either hindsight
or outcome biases. Answer: B. Partnership with scientists in
cognition, perception, and decision making is needed.
◉ Which of the following would best demonstrate non-random
process variation over time?
A. histogram
B. control chart
C. run chart
D. pie chart Answer: B. control chart
,◉ A patient safety professional is leading a process improvement
team to enhance communication hand-offs between hospital units.
Which of the following is the best question to ask at the first team
meeting?
A. "What process change should be the focus?"
B. "When should direct observations begin?"
C. "What are we trying to accomplish?"
D. "When should we spread best practices?" Answer: C. "What are
we trying to accomplish?"
◉ Which of the following is most important in building a culture of
safety?
A. measuring safety outcomes
B. addressing burnout
C. establishing shared values
D. utilizing electronic health records Answer: C. establishing shared
values
◉ A practitioner reads a groundbreaking study on a condition seen
frequently in their practice. Coincidentally, the next patient that the
practitioner sees has symptoms commonly seen with that condition.
Which of the following biases or heuristics best describes this
phenomena?
A. anchoring
, B. availability
C. premature closure
D. risk aversion Answer: B. availability
◉ While investigating a near miss medication event, a manager
identifies a pattern of work arounds by a clinician that violates
policies and procedures. To determine accountability, the manager's
next step should be to
A. conduct a focus group with work area staff.
B. perform a substitution test.
C. escalate the workarounds to leadership.
D. amend procedures to support the workarounds. Answer: B.
perform a substitution test.
◉ A physician is planning to discharge a patient. The nurse knew
that the patient needed additional equipment at home. Together
they reached out to the social worker and discharge planner for a
safe care transition. Which feature of the culture of safety did they
practice?
A. activation of transfer protocols
B. utilization of open communication
C. measurement of patient safety
D. ensuring health literacy Answer: B. utilization of open
communication
