CPPS IHI TEST PAPER EXAM 2025/2026 QUESTIONS AND
ANSWERS GRADED A+
✔✔Your organization utilizes a "home grown" electronic safety event reporting system
that is no longer meeting the needs of the organization. Hospital administration is asking
for your opinion for next steps. What next steps would you take to identify a
replacement system? - ✔✔a. Ask information systems to either fix the old one or build a
new one
b. Identify key stakeholders and perform a gap analysis of current state to ideal state
c. Poll colleagues and purchase what they use
d. Purchase the lease expensive software and grow with it
✔✔The answer is B. Identify key stakeholders and perform a gap analysis of current
state to ideal state - ✔✔
✔✔Your organization is preparing to change to a new electronic health record. Many
departments have been involved with the planning of this huge effort. What would you
suggest as part of the preparation strategy? - ✔✔a. Conduct a root cause analysis
b. Conduct a failure modes and effects analysis
c. Offer a "plan, do, study, act" session
d. Offer to do a claims analysis for any related errors
✔✔The answer is b. Conduct a failure modes and effects analysis - ✔✔
✔✔A new cath lab is under construction in our hospital, and the medical director
contacts you to express concerns related to the transport of patients from the cath lab to
the ICU. You agree to assist in the design of an FMEA. Components of the FMEA will
include: - ✔✔a. Assembling a multidisplinary team whose members will brainstorm
potential failures
b. Conducting the 5 "whys" to figure out what could go wrong
c. Listing potential root causes of adverse events in the current cath lab
d. Asking the medical director to participate in leadership rounds in the current cath lab
to identify potential safety risks
✔✔The answer is A. Assembling a multidisplinary team whose members will brainstorm
potential failures - ✔✔
, ✔✔A new medication administrative safety process was implemented in a hospital. A
team convened to perform a failure mode effects analysis and calculate a risk priority
number (RPN). After a targeted medication safety program on the new process was
delivered to nurses, the same team convened to perform another FMEA. The team
would be happy to see: - ✔✔a. The detectability increased and RPNs were lower
b. The detectability decreased and RPNs were lower
c. The frequency numbers decreased and RPNs were higher
d. The frequency numbers increased and RPNs were lower
✔✔The answer is b. (I think) The detectability decreased and RPNs were lower - ✔✔
✔✔Sharing lessons learned from RCA's does what? - ✔✔a. exposes the fallibility of the
involved clinician(s)
b. Allows others to introduce work arounds to avoid the same situation
c. Allows co-workers to learn the rationale for why an event occurred and incorporate
new lessons learned into practice
d. Sharing these events allows for exposure from litigation perspective and should not
be encouraged
✔✔The answer is C. Allows co-workers to learn the rationale for why an event occurred
and incorporate new lessons learned into practice - ✔✔
✔✔Which of the following descriptions best reflects principles of safe system design? -
✔✔a. Hospital A routinely reviews and updates policies and procedures every 2 years
b. Hospital B routinely studies close calls
c. Hospital C routinely provides trainings on the use of newly introduced medical
equipment
d. Hospital D routinely utilizes control charting to report safety performance
✔✔The Answer is B. Hospital B routinely studies close calls - ✔✔
✔✔Which of the following descriptions is true about human factors? - ✔✔a. human
factors science represents the intersection of medicine and engineering
ANSWERS GRADED A+
✔✔Your organization utilizes a "home grown" electronic safety event reporting system
that is no longer meeting the needs of the organization. Hospital administration is asking
for your opinion for next steps. What next steps would you take to identify a
replacement system? - ✔✔a. Ask information systems to either fix the old one or build a
new one
b. Identify key stakeholders and perform a gap analysis of current state to ideal state
c. Poll colleagues and purchase what they use
d. Purchase the lease expensive software and grow with it
✔✔The answer is B. Identify key stakeholders and perform a gap analysis of current
state to ideal state - ✔✔
✔✔Your organization is preparing to change to a new electronic health record. Many
departments have been involved with the planning of this huge effort. What would you
suggest as part of the preparation strategy? - ✔✔a. Conduct a root cause analysis
b. Conduct a failure modes and effects analysis
c. Offer a "plan, do, study, act" session
d. Offer to do a claims analysis for any related errors
✔✔The answer is b. Conduct a failure modes and effects analysis - ✔✔
✔✔A new cath lab is under construction in our hospital, and the medical director
contacts you to express concerns related to the transport of patients from the cath lab to
the ICU. You agree to assist in the design of an FMEA. Components of the FMEA will
include: - ✔✔a. Assembling a multidisplinary team whose members will brainstorm
potential failures
b. Conducting the 5 "whys" to figure out what could go wrong
c. Listing potential root causes of adverse events in the current cath lab
d. Asking the medical director to participate in leadership rounds in the current cath lab
to identify potential safety risks
✔✔The answer is A. Assembling a multidisplinary team whose members will brainstorm
potential failures - ✔✔
, ✔✔A new medication administrative safety process was implemented in a hospital. A
team convened to perform a failure mode effects analysis and calculate a risk priority
number (RPN). After a targeted medication safety program on the new process was
delivered to nurses, the same team convened to perform another FMEA. The team
would be happy to see: - ✔✔a. The detectability increased and RPNs were lower
b. The detectability decreased and RPNs were lower
c. The frequency numbers decreased and RPNs were higher
d. The frequency numbers increased and RPNs were lower
✔✔The answer is b. (I think) The detectability decreased and RPNs were lower - ✔✔
✔✔Sharing lessons learned from RCA's does what? - ✔✔a. exposes the fallibility of the
involved clinician(s)
b. Allows others to introduce work arounds to avoid the same situation
c. Allows co-workers to learn the rationale for why an event occurred and incorporate
new lessons learned into practice
d. Sharing these events allows for exposure from litigation perspective and should not
be encouraged
✔✔The answer is C. Allows co-workers to learn the rationale for why an event occurred
and incorporate new lessons learned into practice - ✔✔
✔✔Which of the following descriptions best reflects principles of safe system design? -
✔✔a. Hospital A routinely reviews and updates policies and procedures every 2 years
b. Hospital B routinely studies close calls
c. Hospital C routinely provides trainings on the use of newly introduced medical
equipment
d. Hospital D routinely utilizes control charting to report safety performance
✔✔The Answer is B. Hospital B routinely studies close calls - ✔✔
✔✔Which of the following descriptions is true about human factors? - ✔✔a. human
factors science represents the intersection of medicine and engineering
