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CPPS REVIEW COURSE QUESTIONS WITH COMPLETE SOLUTIONS

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CPPS REVIEW COURSE QUESTIONS WITH COMPLETE SOLUTIONS

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When setting organizational safety priorities, it is best to:
A.) Review the current literature to identify areas of frequent concern.
B.) Focus primarily on accreditation standards and requirements.
C.) Determine priorities based on pay-for-performance measurements.
D.) Develop a mechanism to gather input from a variety of sources.


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D.) Develop a mechanism to gather input from a variety of sources.

,Which of the following is the best first step in changing the culture of safety in a
health care organization?


A.) Conduct an assessment and gather focused data.
B.) Develop, policies, procedures, and checklists for safety.
C.) Hire an experienced patient safety officer with a strong performance record.
D.) Implement communication and teamwork tools.


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A.) Conduct an assessment and gather focused data.




An example of a descriptive statistics measure for central tendency is:
A.) Mode
B.) Range
C.) Standard error of the mean
D.) Standard deviation


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A.) Mode

Mode is a measure of central tendency. Range, standard deviation, and
standard error of the mean are measures of variation.




In the context of failure modes and effects analysis (FMEA), how is the risk priority
number (RPN) used?
A.)It calculates the failure modes that will create the most errors.
B.) It specifies the failure modes that have been shown to cause harm.
C.) It identifies the highest priority failure modes to address.
D.) It prioritizes the failure modes that do not require action.

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C.) It identifies the highest priority failure modes to address.

The Risk Priority Number (RPN) is a score that provides the team a way to
identify the highest risk failure modes in descending order. If the team does
not have the resources to address all the identified risks, this number can
be used to filter out failure modes that are acceptable in the current
state.In regard to the other answer options: The RPN does not determine
that an action is not required; that determination comes from the team
evaluating the issue at hand, and, to some degree, may be decided based
on time and resources available. The RPN does not identify error potential
or represent harm that has already occurred; it identifies the impact of a
failure mode if it does occur.




A medication error is self-reported by a nurse to the risk manager. The manager tells
the nurse to complete an incident report. Upon review of the patient safety event, the
manager notices that the nurse overrode a safety check on the barcode scan system.
Further review of the "override" report reveals that several other nurses have also
overridden the system. The risk manager further investigates and finds out that there
was an issue with the printer in registration on that day, which meant that the barcode
scanner could not read the patient ID bracelets.
This is an example of what type of analysis?
A.) Failure mode and effects analysis
B.) Root cause analysis
C.) Event report analysis
D.) Process analysis


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, B.) Root cause analysis

Correct Answer:Root cause analysis-Root cause analysis is a methodical
investigation of the error/event by continuously asking why until you come
to the actual cause of the error. Failure mode and effects analysis is usually
performed when rolling out something new. Event report analysis is a
description of what happened, not necessarily the cause. Process analysis
looks at how something is done, rather than why something happened.




Patient safety themes linked to improvement of medication adherence by a patient
are:
A.) Briefs, huddles, and debriefs
B.) Leadership, communication, and patient advocacy
C.) Patient and family engagement, health literacy, and transitions in care
D.) Medication reconciliation, bedside shift report, and nurse double-check


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D.) Medication reconciliation, bedside shift report, and nurse double-check

Correct Answer:Patient and family engagement, health literacy, and
transitions in carePatient and family engagement, health literacy, and
transitions in care are patient safety themes to improve medication
adherence. Medication reconciliation, shift report, double checks, briefs,
huddles, and debriefs are patient safety tools. Leadership, communication,
and advocacy are patient safety themes but are not the best choice for
themes related to improving medication adherence.




The requirement to perform manual independent double checks (IDCs) to reduce
errors in the administration of high-alert medications is common in US hospitals. The
Institute for Safe Medication Practices (ISMP) recommends that IDC be used
judiciously and for only very selective tasks, not for all high-alert medications.
The rationale for ISMP's recommendation is:
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