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CPPS Exam 2026
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You are educating clinical managers in your healthcare facility on how to identify appropriate events for conducting a Root Cause Analysis. Which event provides the best opportunity for an RCA? -
ANSWERS -a. A post-op 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. There have been 3 occurrences of depressed respirations in the same department in the last 4 months related to sedation The answer is C. The biopsy samples from a colonoscopy are
never received by pathology after the procedure - ANSWERS -
The instrument count is incorrect at the conclusion of a surgical procedure. The hospital policy does not stipulate that the surgeon remain on the premises until an x-ray is obtained. The surgeon leaves the hospital to catch a flight. The x-ray reveals a retained instrument. Another surgeon is contacted to remove the retained
instrument. What should leadership do next? - ANSWERS -a.
Create a process map of how instruments are managed during surgery looking for latent flaws b. Revise the hospital policy to make it clear that surgeons must stay in the OR until instrument count issues are resolved c. Counsel the surgeon about customary clinical standards for a surgeon using appropriate accountability system d. Reeducate the OR nursing staff on keeping track of instruments on the sterile field The answer is C. Counsel the surgeon about customary clinical standards for a surgeon using appropriate accountability system -
ANSWERS -
A nurse on a medical-surgical unit does not comply with barcode medication administration (BCMA) while caring for one of her
patients. What should her supervisor do? - ANSWERS -a. Ask
staff if there are adequate scanners to meet their needs
The answer is B. A table indicating the CLABSI infection rates of all hospitals in the region relative to the National Healthcare Safety Network benchmark for CLABSI infections for the past 2
years - ANSWERS -
Your organization utilizes a "home grown" electronic safety event reporting system that is no longer meeting the needs of the organization. Hospital administration is asking for your opinion for next steps. What next steps would you take to identify a
replacement system? - ANSWERS -a. Ask information systems
to either fix the old one or build a new one b. Identify key stakeholders and perform a gap analysis of current state to ideal state c. Poll colleagues and purchase what they use d. Purchase the lease expensive software and grow with it The answer is B. Identify key stakeholders and perform a gap
analysis of current state to ideal state - ANSWERS -
Your organization is preparing to change to a new electronic health record. Many departments have been involved with the planning of this huge effort. What would you suggest as part of
the preparation strategy? - ANSWERS -a. Conduct a root cause
analysis
b. Conduct a failure modes and effects analysis c. Offer a "plan, do, study, act" session d. Offer to do a claims analysis for any related errors The answer is b. Conduct a failure modes and effects analysis -
ANSWERS -
A new cath lab is under construction in our hospital, and the medical director contacts you to express concerns related to the transport of patients from the cath lab to the ICU. You agree to assist in the design of an FMEA. Components of the FMEA will
include: - ANSWERS -a. Assembling a multidisplinary team
whose members will brainstorm potential failures b. Conducting the 5 "whys" to figure out what could go wrong c. Listing potential root causes of adverse events in the current cath lab d. Asking the medical director to participate in leadership rounds in the current cath lab to identify potential safety risks The answer is A. Assembling a multidisplinary team whose
members will brainstorm potential failures - ANSWERS -
d. Sharing these events allows for exposure from litigation perspective and should not be encouraged The answer is C. Allows co-workers to learn the rationale for why an event occurred and incorporate new lessons learned into
practice - ANSWERS -
Which of the following descriptions best reflects principles of safe
system design? - ANSWERS -a. Hospital A routinely reviews and
updates policies and procedures every 2 years b. Hospital B routinely studies close calls c. Hospital C routinely provides trainings on the use of newly introduced medical equipment d. Hospital D routinely utilizes control charting to report safety performance The Answer is B. Hospital B routinely studies close calls -
ANSWERS -
Which of the following descriptions is true about human factors? -
ANSWERS -a. human factors science represents the intersection
of medicine and engineering
b. Human factors science consists of a set of principles that can be learned during training c. Human factors science addresses problems by modifying the design of the system to better aid people d. Human factors science is about elimination human error The answer is c. Human factors science addresses problems by modifying the design of the system to better aid people -
ANSWERS -
A known barrier to patient safety is staff not speaking up when they are concerned or if they see safety violations. You would help
foster a culture that supports speaking up by: - ANSWERS -a.
Putting up posters around the organization that reinforce speaking up as a safety strategy b. Using culture of safety data to assist low performing departments with defining strategies for improvement c. Using tends in event reporting to identify staff who don't speak up d. Re-educating management on the use of Just Culture principles The answer is b.
c. Gather a team of key stakeholders to flow map the medication reconciliation process d. Gather data on the accuracy and timeliness of medication reconciliation You have been asked to present an overview of safety events to the board of trustees. IN order to best represent safety issues, you
should: - ANSWERS -a. highlight system-wide improvements
that have been implemented in the past year b. Present cases of harm with contributing root causes and actions taken c. display a graph of the numbers and types of safety events reported in the past year d. Lead an open discussion of board members' safety concerns and recommendations The answer is B. Present cases of harm with contributing root causes and actions taken
(not just data; stories and what happened) - ANSWERS -
When setting organizational safety priorities, it is best for you to: -
ANSWERS -a. determine priorities based on pay for performance
measurements b. Focus primarily on accreditation standards and requirements c. develop a mechanism to gather input from a variety of sources d. review the current literature to identify areas of concern
The answer is C. develop a mechanism to gather input from a
variety of sources - ANSWERS -
You are meeting with the CFO to determine return on investment (ROI) for multiple patient safety initiatives. Which project is most likely to receive approval based on the determined ROI: -
ANSWERS -a. Procurement of new beds with built-in alarms to
reduce falls with a
