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CPPS Practice Exam.
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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? - ANSWERa. 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 - ANSWER
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? -
ANSWERa. Create a process map of how instruments are managed during
surgery looking for latent flaws
