Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
CPPS REVIEW CERTIFICATION EVALUATION 2026 SOLVED QUESTION COLLECTION
Typology: Exams
1 / 25
This page cannot be seen from the preview
Don't miss anything!
โ what situations to use FMEA. Answer: with any kind of new thing being introduced โ what is working memory number. Answer: keep things between five and nine โ DMAIC. Answer: is a structured improvement method used in Lean/Six Sigma. โ If the scenario describes a formal, data-intensive quality initiative โ. Answer: DMAIC โ steps of RCA. Answer: Identify the event What happened?
Immediate containment Assemble team Interdisciplinary Include frontline staff Gather data Timeline Interviews Policies Environmental review Identify contributing factors Human factors Communication failures Equipment issues Latent conditions Determine root causes Must be system-based Avoid blaming individuals
Identifying inefficiencies Identifying failure points Eliminating waste Used in: DMAIC FMEA Lean improvement Exam clue: If asked to understand how work is actually performed โ process mapping is first step. โ most common factor leading to health informational technology sentinel events. Answer: human computer interface issues โ The 4 Es:. Answer: Engage - Involve stakeholders Educate - Provide knowledge Execute - Implement changes Evaluate - Measure outcomes โ Meaningful Use refers to.
Answer: standards for effective use of electronic health records (EHRs). From a safety perspective, evaluation includes: Improved medication reconciliation Clinical decision support Reduction in duplication Improved communication Patient access to information But risks include: Alert fatigue Poor interface design Copy-paste errors CPPS lens: Technology must improve safety, not introduce new hazards. If EHR introduces error risk โ conduct usability review and human factors evaluation.
set of three to five things based on evidence to make high risk situations better (ex: sepsis protocol set of labs) โ universal protocols steps. Answer: confirm procedure mark site perform time out โ harm must be linked to what. Answer: the actual delivery of healthcare, not the illness โ If no harm occurred โ. Answer: it is NOT an adverse event โ payor mix. Answer: percentage of revenue from different insurance types โ If risk exists but nothing happened โ. Answer: unsafe condition โ If harm occurred but not serious โ. Answer: adverse event
โ if serious AND preventable โ. Answer: likely never event โ Active error:. Answer: An error that occurs at the level of the frontline operator and whose effects are felt almost immediately. โ Active failure:. Answer: An error that occurs at the level of the frontline operator and whose effects are felt almost immediately. (Kohn et al.) โ Blunt end:. Answer: The blunt end of the system is the source of the resources and constraint that form the environment where practitioners work. The blunt end is also the source of demands for production that sharp end practitioners must meet. โ Error of commission:. Answer: An error which occurs as a result of an action taken. Examples include when a drug is administered at the wrong time, in the wrong dosage, or using the wrong route; surgeries performed on the wrong side of the body; and transfusion errors involving blood cross-matched for another patient.
Answer: unsafe acts committed by frontline staff that directly lead to event (ex wrong dose given) โ AHRQ. Answer: agency for healthcare research and quality U.S. agency focused on improving safety and quality through research, tools (e.g., surveys, CUSP), and evidence. โ blunt end vs sharp end. Answer: Sharp end = frontline providers interacting with patients. Blunt end = leadership, policy, regulatory, and system-level decision- makers. โ Close Call (Near Miss). Answer: An event that could have caused harm but did not, either by chance or interception โ Complexity Science. Answer: Healthcare is a complex adaptive system: Nonlinear Interdependent Constantly changing Solutions must consider interactions, not isolated fixes.
Answer: Computerized Provider Order Entry โ electronic entry of medication and treatment orders.Reduces transcription errors; works best with CDS. โ CRM (Crew Resource Management). Answer: Team training model from aviation emphasizing: Communication Situational awareness Flattened hierarchy Speaking up โ CUS. Answer: Assertion tool: Concerned Uncomfortable Safety issue Escalation language. โ Clinical Decision Support (CDS). Answer: Electronic tools within EHRs that provide:
Answer: Drugs with increased risk of causing significant harm if used incorrectly (e.g., insulin, anticoagulants). โ IMSAFE. Answer: Self-check tool: Illness Medication Stress Alcohol Fatigue Emotion Assesses provider readiness. โ ISMP. Answer: Institute for Safe Medication Practices Nonprofit focused on medication error prevention and high-alert medication guidance. โ mental model. Answer: Internal understanding of how something works.Misaligned mental models โ communication errors. โ Normalization of Deviance.
Answer: Gradual acceptance of unsafe practices as normal because no immediate harm occurs. โ Occurrence Reporting. Answer: Internal reporting of safety events, near misses, and hazards to identify patterns and improve systems. โ Claims Analysis. Answer: Review of malpractice claims to identify system vulnerabilities and risk trends. โ SWOT Analysis. Answer: Strategic assessment of: Strengths Weaknesses Opportunities Threats โ Benchmarking. Answer: Comparing performance metrics against: Internal past performance Industry best practices
โ Premature Closure bias. Answer: Ending diagnostic process too early. โ Fielding. Answer: Assigning appropriate personnel/resources to manage risk or safety issue. Often refers to deploying trained safety leaders. โ Reliability. Answer: Consistency of performing a process correctly over time. 80 - 90% = human vigilance 95% = checklists 99%+ = system redesign/forcing functions โ Steering Committee. Answer: Leadership group providing strategic direction, oversight, and accountability for safety initiatives. โ Tracing Methodology. Answer: Survey/accreditation technique following a patient's care journey to evaluate system compliance and safety practices. โ Most Common Type of Violence in Healthcare.
Answer: Workplace violence โ most commonly patient-to-staff, especially in emergency and behavioral health settings. โ Process vs Outcome Measures. Answer: Process = Was the correct step done? (e.g., % of patients receiving antibiotics within 1 hour) Outcome = What happened to the patient? (e.g., mortality rate) Process measures are more actionable. โ Disclosure (After Harm) - Improving Culture. Answer: pen, honest communication with patients/families after adverse events: Acknowledge harm Apologize Explain next steps Commit to learning Promotes transparency and just culture. โ HIT (Health Information Technology). Answer: Electronic systems that manage health information (EHRs, CPOE, CDS, barcoding). โ Work as Imagined vs Work as Done.
โ qualities of a highly reliable system. Answer: standardization and simplification redundancies and double checks learning from failure and seeking input forcing functions and constraints โ components of process important. Answer: establish team articulate goals perform gap analysis between current and ideal state perform PDSA cycles spread the changes โ characteristics of an HRO. Answer: 1) preoccupation with failure
โ steps in disclosing an adverse event. Answer: 1) sure immediate patient safety
