CPPS Exam Questions with
complete solutions
Behaviors that undermine a culture of safety... ✔✔ 1.) interfere with ability to
achieve intended outcomes
2.) threaten safety
3.) violate policies
4.) create unsafe environment
Lean Management Method (Toyota Production) ✔✔ Creates smooth patient workflows
Eliminates wast in time/effort/resources
Provides services patients find valuable
Aims to continuous increase operational processes to achieve quality services and
promote productive culture
A particularly effective system lacks standardization & waste (very common)
,Sharp end ✔✔ The individuals and part of the healthcare system in direct contact
with patients Corresponds with errors from "active failures"
Blunt end ✔✔ Refers to layers of the healthcare system not in direct contact with
patients Influences the "sharp end"
Refers to those who set policy, manage, design equipment...etc.
Root of Medical Error ✔✔ Sharp end vs. blunt end.
, Picture a triangle. Top = sharp end. bottom = blunt.
Sharp end has causes going towards it, as blunt end has investigations.
Mistake ✔✔ Category of error
Failures during intentional behaviors or incorrect choices typically involving
insufficient knowledge
ex: failure of planning
Rule Based Mistake ✔✔ Wrong-rule applied, wrong diagnosis
Knowledge Based Management ✔✔ Did not take correct cause of action, new
clinical situation
complete solutions
Behaviors that undermine a culture of safety... ✔✔ 1.) interfere with ability to
achieve intended outcomes
2.) threaten safety
3.) violate policies
4.) create unsafe environment
Lean Management Method (Toyota Production) ✔✔ Creates smooth patient workflows
Eliminates wast in time/effort/resources
Provides services patients find valuable
Aims to continuous increase operational processes to achieve quality services and
promote productive culture
A particularly effective system lacks standardization & waste (very common)
,Sharp end ✔✔ The individuals and part of the healthcare system in direct contact
with patients Corresponds with errors from "active failures"
Blunt end ✔✔ Refers to layers of the healthcare system not in direct contact with
patients Influences the "sharp end"
Refers to those who set policy, manage, design equipment...etc.
Root of Medical Error ✔✔ Sharp end vs. blunt end.
, Picture a triangle. Top = sharp end. bottom = blunt.
Sharp end has causes going towards it, as blunt end has investigations.
Mistake ✔✔ Category of error
Failures during intentional behaviors or incorrect choices typically involving
insufficient knowledge
ex: failure of planning
Rule Based Mistake ✔✔ Wrong-rule applied, wrong diagnosis
Knowledge Based Management ✔✔ Did not take correct cause of action, new
clinical situation
