CPPS Review Course QUESTIONS AND
ANSWERS ALL CORRECT
A staff member discovered a medication with an incorrect label. The staff
immediately notified the pharmacist and the correct label was sent prior to
medication administration. Then, the staff completed an event report through the
organization's reporting tool.
Which of the following actions should the unit manager take in response to this
event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a near-
miss event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm. - ANSWER-B.)
Investigate system failures and recognize the employee for reporting a near-miss
event.
You are educating clinical managers in your health care facility on how to identify
appropriate events for conducting a root cause analysis (RCA). Which event
provides the BEST opportunity for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear from the tape.
B.) A patient with no known allergies experiences an anaphylactic reaction to an
antibiotic, requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by pathology after
the procedure.
,D.) In the last four months, there have been three occurrences of depressed
respirations related to sedation in the same department. - ANSWER-C.) The biopsy
samples from a colonoscopy are never received by pathology after the procedure.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were
80 employees who responded. Responses to the survey item that states "we have
patient safety problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
A.) 75%
B.) 60%
C.) 25%
D.) 20% - ANSWER-C.) 25%The AHRQ Hospital Survey on Patient Safety Culture
User Guide scoring guidance says to use the "Strongly Agree/Agree" response
sum, or, for negatively worded items—such as this one—use the "Strongly
Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by total
number of respondents (i.e., 80): 20/80 = 25%.
What is one example of a communication technique providers can use to improve
communication with patients?
,A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule - ANSWER-B.) Teach-back
The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through organizational
change?
A.) Monitor change, identify potential safety implications, and employ
countermeasures to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor change
C.) Identify potential safety implications, employ countermeasures to mitigate any
anticipated risks, and monitor the change
D.) None of the above - ANSWER-C.) Identify potential safety implications, employ
countermeasures to mitigate any anticipated risks, and monitor the change
What is the term which describes the belief that one will not be punished or
humiliated for speaking up with ideas, questions, concerns, or mistakes? -
ANSWER-Psychological safety
A safety-supportive system of shared accountability in which: 1.) Healthcare
institutions are accountable for safe systems design and for encouraging safe
choices of clinicians and staff (clear expectations set the tone to create
environment of mutual respect)
2.) Clinicians and staff are accountable for the quality of their choices (i.e. striving
to make the best possible choices as professionals) - ANSWER-Just Culture
, At the conclusion of a surgical procedure at your hospital, the instrument count is
incorrect. The hospital policy does not stipulate that the surgeon must remain on
the premises until an x-ray is obtained to check for retained foreign objects. By the
time the x-ray results come in to reveal that there is, in fact, a retained
instrument, the original surgeon has left the hospital to catch a flight. Another
surgeon is contacted to remove the retained instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in the
operating room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon about
customary clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on the sterile
field.
D.) Create a process map of how instruments are managed during surgery, looking
f - ANSWER-B.) Using an appropriate accountability system, counsel the surgeon
about customary clinical standards.
This term reflects a group of individuals who understand the importance of self-
and group- regulation. - ANSWER-Professionalism
The human resources department at your organization has asked your patient
safety specialist for recommendations on new policies to help support safety
culture. Which recommendation sounds best?
A.) Sending human resources all event data so that they can record involvement in
adverse events in personnel files
ANSWERS ALL CORRECT
A staff member discovered a medication with an incorrect label. The staff
immediately notified the pharmacist and the correct label was sent prior to
medication administration. Then, the staff completed an event report through the
organization's reporting tool.
Which of the following actions should the unit manager take in response to this
event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a near-
miss event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm. - ANSWER-B.)
Investigate system failures and recognize the employee for reporting a near-miss
event.
You are educating clinical managers in your health care facility on how to identify
appropriate events for conducting a root cause analysis (RCA). Which event
provides the BEST opportunity for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear from the tape.
B.) A patient with no known allergies experiences an anaphylactic reaction to an
antibiotic, requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by pathology after
the procedure.
,D.) In the last four months, there have been three occurrences of depressed
respirations related to sedation in the same department. - ANSWER-C.) The biopsy
samples from a colonoscopy are never received by pathology after the procedure.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were
80 employees who responded. Responses to the survey item that states "we have
patient safety problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
A.) 75%
B.) 60%
C.) 25%
D.) 20% - ANSWER-C.) 25%The AHRQ Hospital Survey on Patient Safety Culture
User Guide scoring guidance says to use the "Strongly Agree/Agree" response
sum, or, for negatively worded items—such as this one—use the "Strongly
Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by total
number of respondents (i.e., 80): 20/80 = 25%.
What is one example of a communication technique providers can use to improve
communication with patients?
,A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule - ANSWER-B.) Teach-back
The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through organizational
change?
A.) Monitor change, identify potential safety implications, and employ
countermeasures to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor change
C.) Identify potential safety implications, employ countermeasures to mitigate any
anticipated risks, and monitor the change
D.) None of the above - ANSWER-C.) Identify potential safety implications, employ
countermeasures to mitigate any anticipated risks, and monitor the change
What is the term which describes the belief that one will not be punished or
humiliated for speaking up with ideas, questions, concerns, or mistakes? -
ANSWER-Psychological safety
A safety-supportive system of shared accountability in which: 1.) Healthcare
institutions are accountable for safe systems design and for encouraging safe
choices of clinicians and staff (clear expectations set the tone to create
environment of mutual respect)
2.) Clinicians and staff are accountable for the quality of their choices (i.e. striving
to make the best possible choices as professionals) - ANSWER-Just Culture
, At the conclusion of a surgical procedure at your hospital, the instrument count is
incorrect. The hospital policy does not stipulate that the surgeon must remain on
the premises until an x-ray is obtained to check for retained foreign objects. By the
time the x-ray results come in to reveal that there is, in fact, a retained
instrument, the original surgeon has left the hospital to catch a flight. Another
surgeon is contacted to remove the retained instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in the
operating room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon about
customary clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on the sterile
field.
D.) Create a process map of how instruments are managed during surgery, looking
f - ANSWER-B.) Using an appropriate accountability system, counsel the surgeon
about customary clinical standards.
This term reflects a group of individuals who understand the importance of self-
and group- regulation. - ANSWER-Professionalism
The human resources department at your organization has asked your patient
safety specialist for recommendations on new policies to help support safety
culture. Which recommendation sounds best?
A.) Sending human resources all event data so that they can record involvement in
adverse events in personnel files
