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CERTIFIED PROFESSIONAL IN PATIENT
SAFETY CPPS TESTS COMPILATION
BUNDLE 2026 COMPREHENSIVE STUDY
GUIDE QUESTIONS AND ANSWERS FULL
SOLUTION GRADED A+
⩥ 2003 health literacy results. Answer: over a third had basic or below basic levels 53% had intermediate level 12% proficient ⩥ why is health literacy not static. Answer: vary with mental or emotional state, illness, and life stressors individual skills complexity of info and tasks ⩥ universal precautions for health literacy. Answer: 1. create shame-free environment
- simplifying info (3 to 5 pts, 4-6th grade level)
- listen carefully
- confirm comprehension (teach back or show me)
- improving support for navigation healthcare contexts (signage, forms, apps)
- support in health mgmt efforts ⩥ CUSP. Answer: comprehensive unit-based safety program combines culture of safety, teamwork, and communications together with checklists that incorporate evidence-based measure to prevent HAI ⩥ after how many hours does the drive for sleep become increasingly powerful. Answer: 12 to 16 hours ⩥ fatigue. Answer: latent hazard and unsafe condition which leads to increased medical errors ⩥ prefrontal cortex functions. Answer: memory and tracking capacity sensitive to sleep deprivation ⩥ cumulative deficits related to sleep deprivations. Answer: dynamic, naturalistic decision-making
⩥ falls occur in elderly with. Answer: 1. delirium
- psychoactive meds (benzodiazepines)
- baseline difficulties with strength, mobility, or balance ⩥ Considerations in fall prevention program. Answer: 1. individualized
- combine environmental measures (nonslip floors, within line sight)
- clinical interventions (minimize deliriogenic meds)
- care process interventions (std risk assessment tool)
- cultural interventions (multidisciplinary)
- tech/logistical interventions (lower bed) ⩥ 2011 components of fall prevention interventions. Answer: 1. multidisciplinary
- staff and pt ed
- individualized POC
- safe footware
- focus on prevent, detect, and tx delirium
- culprit meds
- continence mgmt
- device, mobility aids, and exercise
- post fall review ⩥ falls reportable to TJC. Answer: falls with injury are serious reportable event and a "never event" by CMS ⩥ failure to rescue. Answer: not able to rapidly id and tx complications when they occur inability to prevent death after the development of a complication reflect resources and preparedness of system ⩥ how can a hospital have a low complication rate but high failure to rescue rate or vise versa. Answer: higher complications have more experience recognizing and responding to complications ⩥ Needleman and Buerhaus. Answer: developed a measure o failure to rescue derived from adm data, used outcomes sensitive to nursing care, and integrated exclusion rules aimed to eliminate cases whicht he complication was POD "failure to rescue-nursing"
Answer: well designed systems of care that are supported by individuals with a full range of competencies ⩥ % of physicians who develop a substance use disorder. Answer: 10-12% ⩥ 2015 Annual Perspective on balance systems approach with accountability. Answer: just culture at risk vs. reckless ⩥ improve performance. Answer: simulation individualized coaching CME mandate to report suspected impaired or unable to perform pt care duties ⩥ leadership roles. Answer: 1. prioritizing safety
- est culture of safety
- responding to pt or staff concerns
- supporting efforts to improve safety
- monitor progress ⩥ Board of Directors Responsibilities. Answer: 1. formatting mission & key goals
- ensuring financial viability
- monitoring and eval performance of high-level executives
- meets the needs of the community it serves
- ensuring quality and safety of care ⩥ discontinuity creates. Answer: opportunities for error when clinical information in not accurately transferred between providers "kids playing telephone" ⩥ "handoffs". Answer: transferring responsibility for a patient from one caregiver to another with the goal of providing timely, accurate information about a patient's plan of care, treatment, current condition and anticipated changes ⩥ "signout". Answer: act of transmitting information about a patient ⩥ leading cause of preventable error in ED physicians and trainees.
⩥ % of Medicare beneficiaries that are d/c to some form of LTC facilities after hospital stay. Answer: 40% ⩥ % of Medicare beneficiaries in SNF experience an adverse event during their stay and how many were preventable. Answer: 22% half ⩥ 1999 institute of Medicine Report. Answer: "To err is human: building a safer health system " toll of medical errors at the national level - 98,000 deaths every year due to preventable harm no single validated method for measuring eh overall safety of care ⩥ Donabedian Triad. Answer: quality is viewed :
- structure,
- process,
- outcome ⩥ measurement is sued to. Answer: 1. eval effectiveness of intervention
- id new or emerging safety threats
- compare safety across setting
- determine if safety is improving ⩥ methods of measuring pt safety. Answer: 1. retrospective chart review - gold std
- voluntary error reporting
- automated surveillance
- adm or claims data (AHRQ pt safety indicators)
- pt reports ⩥ 2015 Free From Harm by the National Patient Safety Foundation. Answer: call for creation of common set of safety metrics that reflect meaningful outcomes
- est std set of process and outcome measures for use on a national basis
- creating measures of pt safety for settings outside the hospital
- improve the quality of safety reporting systems
- develop ways of measuring safety in real time ⩥ most common medication errors. Answer: 1. wrong time of administration
- omission
Answer: harm experienced by a pt as a result of exposure to a medication does not necessarily indicate an error or poor quality care ⩥ Preventable ADE. Answer: med error that reaches pt and causes any degree of harm about half are preventable ⩥ potential ADE. Answer: med errors that do not cause any harm either because they are intercepted or luck (incorrect dose given but no clinical consequences) ⩥ Ameliorable ADE. Answer: pt experienced harm from a med that, while not completely preventable, could have been mitigated (earlier detection could have reduced the level of harm the pt experienced) ⩥ nonpreventable ADE. Answer: side effects event when prescribed and adm properly
⩥ strongest risk factor for ADE. Answer: polypharmacy ⩥ Beers Criteria. Answer: Identifies High Risk Meds to Generate Wide List of Meds That Should be Avoided ⩥ STOPP criteria. Answer: Screening Tool of Older Persons' potentially inappropriate Prescriptions more accurate predict ADE than Beers criteria ⩥ most commonly meds that cause ADE. Answer: 1. antidiabetic agents
- oral anticoagulants
- antiplatelet agents
- opioid pain meds ⩥ medication reconciliation. Answer: screen for:
- omitted needed meds
- unnecessarily duplicate therapies
Answer: 1. labor resources
- material resources
- teamwork and communication ⩥ nursing decision process is influenced by. Answer: 1. nurse's perceptions of team or group norms
- judgment about the importance of various aspects of care relative to the conditions of multiple pts
- nurse's values, attitudes, and beliefs
- nurse's usual practice ⩥ never events. Answer: Serious but preventable errors that should never occur
- unambiguous (id and measurable)
- serious (death or disability)
- preventable ⩥ categories of serious reportable events. Answer: 1. surgical or procedural
- product or device
- pt protected events
- care mgmt events
- environmental events
- radiologic events
- criminal ⩥ Sentinel Event. Answer: an unexpected occurrence involving death, serious physical or psychological injury, or the risk thereof ⩥ 2004 Standards for Nursing-Sensitive Care. Answer: markers of nursing care quality and system-related measures including:
- nsg skill mix
- nsg care hrs
- measures of quality of nursing practice env
- nursing turnover ⩥ 1994 Error in Medicine. Answer: Dr. Lucian Leape highlighted the issue & presented a framework for error analysis and prevention ⩥ preventable adverse event.
⩥ patient-centered care. Answer: respectful of and responsive to individual pt preferences, needs, and values and ensure that pt values guide all clinical decisions ⩥ Engagement of patients in safety. Answer: 1. enlisting pt in detecting adverse events
- empowering pt to ensure safe care
- emphasizing pt involvmetn as means of improving the culture of safety ⩥ patient action errors. Answer: 1. pt behaviors
- mental errors ⩥ errors related to radiotherapy. Answer: 1. overexposure
- wrong pt
- wrong site
- poor communication
- wrong dosing or incorrect configuration of equipment
- inadequate training
- poor interoperability of systems
⩥ diagnostic imaging prevention to limit radiation. Answer: 1. ed physicans on appropriate test utilization
- std equipment
- radiation dosage
- use ultrasound or MRI instead ⩥ Rapid Response Team. Answer: a team that is trained to intervene and assist caregivers before a patient's condition deteriorates to the point that a conventional code is required. ⩥ RRT criteria. Answer: HR over 140 or less than 40 resp over 28 or less than 8 SBP greater than 180 or less than 90 o2 sat less than 90% with air acute mental status change output less than 50 cc over 4 hrs member has a concern ⩥ RRT do not affect.
