CPHRM Patient Safety 4

Question 1

A patient receives a blood transfusion intended for another patient. This event should FIRST be reported as a:

Accepted Answer

Sentinel event

Answer

Transfusion errors resulting in hemolytic reactions are classified as sentinel events requiring immediate investigation and reporting.

Question 2

Which of the following is the MOST effective strategy to prevent central line-associated bloodstream infections (CLABSIs)?

Accepted Answer

Implementing a central line insertion bundle with checklist compliance

Answer

Evidence-based insertion bundles—including hand hygiene, maximal barrier precautions, and chlorhexidine skin antisepsis—significantly reduce CLABSI rates.

Question 3

A patient with limited English proficiency receives discharge instructions only in English. This situation MOST directly creates a risk for:

Accepted Answer

Post-discharge medication errors and non-compliance

Answer

Health literacy barriers increase the risk of misunderstood instructions, leading to medication errors, readmissions, and poor health outcomes.

Question 4

Which of the following is a key component of a comprehensive fall prevention program in an acute care hospital?

Accepted Answer

Individualized fall risk assessment with targeted interventions

Answer

Individualized risk stratification using validated tools (e.g., Morse Fall Scale) followed by matched interventions is the evidence-based standard for fall prevention.

Question 5

The concept of 'defense in depth' in patient safety refers to:

Accepted Answer

Layering multiple independent safeguards so that one failure alone does not cause harm

Answer

Defense in depth applies redundant safety barriers so that if one layer fails, others remain to catch the error before it reaches the patient.

CPHRM Exam Practice Test

CPHRM Exam Practice Test

CPHRM Patient Safety 4