CPPS IHI PRACTICE EXAM WITH COMPLETE QUESTIONS AND
SOLUTIONS
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.
- ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-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. - ANSWER-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. - ANSWER-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 - ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-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
SOLUTIONS
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.
- ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-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. - ANSWER-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. - ANSWER-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 - ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-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
