CPHQ Patient Safety Principles 3

Question 1

Which framework specifically addresses human error in complex sociotechnical systems by categorizing failures as person-based or system-based?

Accepted Answer

James Reason's Human Error Model

Answer

Donabedian Model

Answer

FMEA

Answer

PDSA Cycle

Question 2

In a hospital, nurses routinely skip the two-patient identifier check because it slows workflow. Over time staff accept this as normal. This phenomenon is called:

Accepted Answer

Normalization of deviance

Answer

Cognitive bias

Answer

Latent failure

Answer

Production pressure

Question 3

Which element is REQUIRED for a valid informed consent process in the United States?

Accepted Answer

Disclosure of material risks, benefits, and alternatives

Answer

Consent obtained only by a physician

Answer

Patient's signature on a pre-printed form

Answer

Consent obtained at least 24 hours before a procedure

Question 4

A hospital implements standardized handoff communication using SBAR. This intervention primarily targets which safety risk?

Accepted Answer

Communication failures during care transitions

Answer

Medication reconciliation errors

Answer

Diagnostic delays

Answer

Wrong-site surgery

Question 5

Which proactive risk assessment tool assigns a Risk Priority Number (RPN) by multiplying severity, occurrence, and detectability scores?

Accepted Answer

Failure Mode and Effects Analysis (FMEA)

Answer

Root Cause Analysis

Answer

Tracer Methodology

Answer

HFMEA

Question 6

Which practice is a core element of the IHI's 'bundles' approach to preventing central line-associated bloodstream infections (CLABSI)?

Accepted Answer

Hand hygiene before line insertion

Answer

Weekly line site rotation

Answer

Antibiotic prophylaxis for all central lines

Answer

Daily line flushing with heparin

Question 7

A wrong-site surgery occurs. According to The Joint Commission, this is classified as a:

Accepted Answer

Sentinel event

Answer

Serious reportable event

Answer

Near miss

Answer

Adverse drug event