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CPPS IHI PRACTICE EXAM 2026 | FULL 110-QUESTION
SIMULATOR | ALL 4 DOMAINS INCLUDED |
DETAILED RATIONALES
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.
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.
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
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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
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.
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
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B. inattentional blindness
C. normalized deviance
D. insufficient staffing
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
B. bar code scanning compliance
C. nursing bar coding knowledge
D. bar coding performance goal setting
B. bar code scanning compliance
A manager demonstrates adherence to the principles of a just culture by applying which of
the following types of decision-making frameworks?
A. harm-based
B. outcome-focused
C. equity-focused
D. risk-based
D. risk-based
When interpreting data after a safety event, which of the following is true?
A. Identifying human error results in a deep understanding of the event and its causes.
B. Comparing actions taken to procedures and rules will explain the behaviors during the
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event.
C. The outcome of the event has no influence on the interpretation or conclusions.
D. Causes are constructed from the investigation and analysis.
D. Causes are constructed from the investigation and analysis.
As a member of an improvement team focused on standardizing surgical protocols, the
patient safety professional recognizes that one concern clinicians may raise is:
A. improved supply chain management.
B. increased amount of waste.
C. depersonalized care.
D. increased length of stay.
C. depersonalized care.
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.
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
CPPS IHI PRACTICE EXAM 2026 | FULL 110-QUESTION
SIMULATOR | ALL 4 DOMAINS INCLUDED |
DETAILED RATIONALES
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.
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.
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
,2|Page Doc 63
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
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.
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
,3|Page Doc 63
B. inattentional blindness
C. normalized deviance
D. insufficient staffing
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
B. bar code scanning compliance
C. nursing bar coding knowledge
D. bar coding performance goal setting
B. bar code scanning compliance
A manager demonstrates adherence to the principles of a just culture by applying which of
the following types of decision-making frameworks?
A. harm-based
B. outcome-focused
C. equity-focused
D. risk-based
D. risk-based
When interpreting data after a safety event, which of the following is true?
A. Identifying human error results in a deep understanding of the event and its causes.
B. Comparing actions taken to procedures and rules will explain the behaviors during the
, 4|Page Doc 63
event.
C. The outcome of the event has no influence on the interpretation or conclusions.
D. Causes are constructed from the investigation and analysis.
D. Causes are constructed from the investigation and analysis.
As a member of an improvement team focused on standardizing surgical protocols, the
patient safety professional recognizes that one concern clinicians may raise is:
A. improved supply chain management.
B. increased amount of waste.
C. depersonalized care.
D. increased length of stay.
C. depersonalized care.
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.
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
