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ASHRM CPHRM Exam - Topic 3 Question 2 Discussion

Actual exam question for ASHRM's CPHRM exam
Question #: 2
Topic #: 3
[All CPHRM Questions]

A hospital uses the same labels for all prescriptions, but they don't fit on small containers, so employees must cut/paste labels in a special way. This is an example of:

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Suggested Answer: A

In Lean terms, extra processing is work that does not add value from the patient's perspective and often introduces defect risk. Cutting and reformatting labels is a classic extra-processing waste: it consumes time, creates variability, and increases the likelihood of mislabeling---one of the most serious medication safety hazards. Risk management objectives prioritize eliminating rework and standardizing the labeling process through right-sized labels, standardized print templates by container type, barcode integration, and human factors design (font size, tall-man lettering where appropriate). Removing extra processing improves efficiency and reduces cognitive load and workaround culture---both strongly associated with error. Operationally, this is a system design failure: staff are compensating for poor equipment/process fit. Fixing the system reduces the chance of a high-severity adverse event and strengthens defensibility by demonstrating proactive hazard elimination.


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Wei
7 hours ago
This reminds me of a practice question we had about waste in healthcare. I think extra processing fits best here.
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Meaghan
5 days ago
I'm not entirely sure, but I think this might relate to value-added work since it’s necessary for the prescriptions.
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Gregoria
11 days ago
I remember discussing Lean principles in class, and cutting/pasting labels seems like extra processing to me.
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