CPPS IHI Practice Exam Questions and Answers Graded
A+
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. ✔✔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 ✔✔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. ✔✔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 ✔✔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. ✔✔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. ✔✔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 ✔✔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 ✔✔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. ✔✔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 ✔✔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 ✔✔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 ✔✔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. ✔✔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. ✔✔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.
C. involve crisis counselors in the investigation.
D. consult providers who experienced a similar event. ✔✔B. offer guidance and emotional
support.
Which of the following is an example of a syndrome characterized by emotional exhaustion and
a decrease in personal accomplishments that is directly associated with employment?
A+
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. ✔✔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 ✔✔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. ✔✔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 ✔✔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. ✔✔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. ✔✔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 ✔✔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 ✔✔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. ✔✔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 ✔✔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 ✔✔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 ✔✔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. ✔✔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. ✔✔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.
C. involve crisis counselors in the investigation.
D. consult providers who experienced a similar event. ✔✔B. offer guidance and emotional
support.
Which of the following is an example of a syndrome characterized by emotional exhaustion and
a decrease in personal accomplishments that is directly associated with employment?
