SBA — Single Best Answer · Review
Question 656
Clinical Management → Clinical Practice
Classification
Question
SSBAQuestion Header
CNST levels of risk management
Question Stem
A Trust first establishes a risk-management lead, committee and protocols; then demonstrates implementation of those measures; then actively monitors implementation and deals with problems. Which sequence of CNST levels does this represent?
Options
A
Level 1 → Level 2 → Level 3
B
Level 2 → Level 1 → Level 3
C
Level 1 → Level 3 → Level 2
D
No level → Level 1 → Level 2
E
Level 3 → Level 2 → Level 1
Explanation
Level 1 as the basic infrastructure and documentation, Level 2 as implementation of the Level 1 steps and protocols, and Level 3 as active monitoring of implementation with action on problems.
Option Validity
B) Level 1 establishes fundamentals before Level 2 demonstrates implementation; these first two stages are reversed.
C) Level 3 follows Level 2 because active monitoring comes after implementation, not before it.
D) Level 1, then Level 2, then Level 3; “no level” is an inspection category rather than the first of these three risk-management levels.
E) This reverses the progression: Level 3 is the most demanding stage, not the starting point.
Further Reading
Saxena MRCOG-1 Basic Sciences — Principles of Clinical Practice, printed pp. 6–7.