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CPPS study plan

CPPS · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Patient Safety Risks and Solutions

  • Map the full landscape of patient safety risk categories (clinical, environmental, human factors, technology, communication) into a personal taxonomy with at least 12 named risk types

  • Explain the Swiss cheese model, high-reliability organizing principles, and just-culture concepts in your own written words without notes

  • Identify the top five harm events most relevant to your practice setting and cite the contributing-system factors for each

  • Define the distinction between active failures and latent conditions and classify ten real or hypothetical events accordingly

Your checkpoint

A one-page risk taxonomy plus a 500-word written explanation of system-based safety causation that you can reproduce from memory

Week 2

Patient Safety Risks and Solutions

  • Compare at least six concrete safety solutions (checklists, standardization, forcing functions, redundancy, simplification, team training) and state the failure mode each is designed to counter

  • Analyze why a single intervention rarely eliminates a risk and design a layered bundle for one high-frequency harm event

  • Distinguish blame-based from system-based responses to error and justify the system approach using at least three evidence-based arguments

  • Draft talking points for disclosing a safety event to a patient or family using an open-disclosure framework

Your checkpoint

A layered safety-bundle design for one harm event, including at least four interventions, the failure mode each addresses, and a one-paragraph disclosure script

Week 3

Measuring and Monitoring

  • Differentiate structure, process, and outcome measures and classify ten example metrics into the correct category

  • Select leading and lagging indicators for a chosen safety or quality problem and justify each choice

  • Explain the purpose and mechanics of run charts and control charts, including how to identify special-cause variation from a plotted series

  • Describe at least four common data-collection methods and state one validity threat for each

  • Interpret a set of sample measurement results and state what the data do and do not support

Your checkpoint

A measurement plan for one improvement aim containing two outcome measures, two process measures, and one balancing measure, each with a data source, frequency, and target

Week 4

Measuring and Monitoring & Analysis and Improvement

  • Apply the Model for Improvement by writing a testable aim statement, a measurement set, and at least three change ideas

  • Design a Plan-Do-Study-Act cycle with explicit predictions, a defined test scale, and decision rules for adopt, adapt, or abandon

  • Construct and interpret a run chart from a provided data series and annotate shift, trend, and astronomically improbable runs

  • Conduct a basic root cause analysis on a case scenario, separating proximate causes from system causes

Your checkpoint

A completed PDSA worksheet plus an annotated run chart with a written interpretation of whether the change produced improvement

Week 5

Analysis and Improvement

  • Explain the purpose and construction of process maps, flowcharts, and fishbone diagrams and produce one of each for a chosen problem

  • Prioritize improvement opportunities using an impact-effort matrix or Pareto analysis and defend the top choice

  • Describe at least four change concepts (reduce variation, mistake-proofing, segmenting, managing constraints) and match each to a real problem

  • Identify implementation barriers including workflow fit, staff burden, and sustainability and propose mitigation for each

Your checkpoint

A fishbone diagram, a Pareto chart, and a prioritized improvement proposal with a justified rationale for the top-ranked intervention

Week 6

Culture

  • Articulate how organizational culture, psychological safety, and speaking-up behavior influence safety outcomes and connect each to observable workplace behaviors

  • Describe at least three culture assessment approaches and state the strengths and limits of each

  • Identify cultural barriers to reporting errors and design two interventions that increase reporting without increasing blame

  • Explain how team communication structures such as structured handoffs and briefings reduce cultural and informational gaps

Your checkpoint

A culture assessment summary of a hypothetical unit, including three observed behavioral indicators, two barriers, and two targeted interventions

Week 7

Leadership & Professional Engagement

  • Distinguish leadership behaviors that build safety culture from those that undermine it, using at least five specific observable examples

  • Explain governance and accountability structures for quality and safety and describe the leader's role in resource allocation and prioritization

  • Outline the professional and ethical obligations related to safety, including reporting duties and scope-of-practice boundaries

  • Describe how to engage frontline staff, patients, and families as partners in improvement and identify two engagement methods

Your checkpoint

A leadership action plan for a hypothetical unit with five concrete leader behaviors, an accountability structure, and two staff-engagement mechanisms

Week 8

Culture & Leadership & Patient Safety Risks and Solutions & Measuring and Monitoring & Analysis and Improvement & Professional Engagement

  • Integrate all six domains into a single end-to-end case analysis moving from risk identification through measurement, improvement, culture, and leadership

  • Complete timed practice sets across every domain and log error patterns by domain and by reasoning type

  • Re-teach the weakest three concepts aloud or in writing without reference materials

  • Consolidate a one-page formula and framework sheet covering measurement, improvement, and safety models

Your checkpoint

A full practice-exam score report with a domain-by-domain error log and a written remediation plan for the three weakest areas

Milestones

Week 2: Can explain system-based safety causation and design a layered intervention bundle for one harm event without notes, and score at least 80 percent on a self-made Domain 3 recall quiz

Week 4: Can correctly classify measures by type, interpret a run chart for special-cause variation, and complete a PDSA cycle worksheet with defensible decision rules

Week 6: Can produce a fishbone and Pareto analysis from a case scenario and articulate three culture-assessment approaches with their limitations

Week 8: Achieve at least 75 percent on a full-length timed practice set with no domain below 65 percent, and demonstrate a written integrated case analysis spanning all six domains