Page 1 of 75
CPPS IHI EXAM ALL 300 QUESTIONS AND
CORRECT DETAILED SOLUTIONS RELEASED THIS
YEAR
Question: In which of the following activities would a patient safety specialist engage to
promote a culture of safety?
A. Instruct team members to act in a safe and respectful manner.
B. Apply best evidence with the goal of failure-free operation over time.
C. Review annual data on defects and successes.
D. Focus on a list of projects identified by senior stakeholders. - CORRECT ANSWER✔✔B. Apply
best evidence with the goal of failure-free operation over time.
In the IHI Framework for Safe, Reliable, and Effective Care, the role of patient safety specialists is
to apply best evidence with the goal of failure-free operation over time. This involves reviewing
data frequently (much more often than annually), designing systems to help people make the
right choice (rather than relying on education to change behavior), and setting priorities in
collaboration with senior stakeholders (rather than solely at their direction).
Question: 1. 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
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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. An electronic reporting system
B. Psychological safety
C. Situational awareness training
D. Training on reporting - CORRECT ANSWER✔✔B. Psychological safety
In this case, regardless of whether the nurse has the knowledge or ability to report the error, he
is not speaking up because he does not feel psychologically safe to do so. If the nurse felt
psychologically safe, he would feel confident that his concern would be heard and that
appropriate, system-focused action (as opposed to misplaced blame and punishment) would
ensue.
Question: 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. Hold a root cause analysis.
B. Perform the substitution test with three other nurses.
C. Ask other nurses if the staff nurse is trustworthy.
D. Have the chief nursing officer interview the nurse. - CORRECT ANSWER✔✔B. Perform the
substitution test with three other nurses.
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Question: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. - CORRECT
ANSWER✔✔C. Partner with key stakeholders to perform a gap analysis of current state to ideal
state.
Question: 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 - CORRECT ANSWER✔✔B. ensure an on-site visit verifies that the recalled medication was
sequestered.
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Question: 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. - CORRECT ANSWER✔✔B. present evidence that
checklist use reduces practice variability.
Question: 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 - CORRECT ANSWER✔✔D. preoccupation with failure
Question: 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.
CPPS IHI EXAM ALL 300 QUESTIONS AND
CORRECT DETAILED SOLUTIONS RELEASED THIS
YEAR
Question: In which of the following activities would a patient safety specialist engage to
promote a culture of safety?
A. Instruct team members to act in a safe and respectful manner.
B. Apply best evidence with the goal of failure-free operation over time.
C. Review annual data on defects and successes.
D. Focus on a list of projects identified by senior stakeholders. - CORRECT ANSWER✔✔B. Apply
best evidence with the goal of failure-free operation over time.
In the IHI Framework for Safe, Reliable, and Effective Care, the role of patient safety specialists is
to apply best evidence with the goal of failure-free operation over time. This involves reviewing
data frequently (much more often than annually), designing systems to help people make the
right choice (rather than relying on education to change behavior), and setting priorities in
collaboration with senior stakeholders (rather than solely at their direction).
Question: 1. 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
, Page 2 of 75
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. An electronic reporting system
B. Psychological safety
C. Situational awareness training
D. Training on reporting - CORRECT ANSWER✔✔B. Psychological safety
In this case, regardless of whether the nurse has the knowledge or ability to report the error, he
is not speaking up because he does not feel psychologically safe to do so. If the nurse felt
psychologically safe, he would feel confident that his concern would be heard and that
appropriate, system-focused action (as opposed to misplaced blame and punishment) would
ensue.
Question: 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. Hold a root cause analysis.
B. Perform the substitution test with three other nurses.
C. Ask other nurses if the staff nurse is trustworthy.
D. Have the chief nursing officer interview the nurse. - CORRECT ANSWER✔✔B. Perform the
substitution test with three other nurses.
, Page 3 of 75
Question: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. - CORRECT
ANSWER✔✔C. Partner with key stakeholders to perform a gap analysis of current state to ideal
state.
Question: 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 - CORRECT ANSWER✔✔B. ensure an on-site visit verifies that the recalled medication was
sequestered.
, Page 4 of 75
Question: 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. - CORRECT ANSWER✔✔B. present evidence that
checklist use reduces practice variability.
Question: 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 - CORRECT ANSWER✔✔D. preoccupation with failure
Question: 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.
