Not very easy for it to happen by mistake, since it will only respond to your fingers touching the screen to swipe it on even if you inadvertently hit the home button.
To run an app, you'd have to hit the home button (easy), swipe in the correct place (not that easy), enter the code if it's password protected (very hard), tap the correct place to start your app (hard).
On the other hand, resuming ipod playing is relatively easier as you only have to double tap the home button and then tap the correct place for the play button. Still, it's not easy.
Yes, I meant intentionally. It would mean being able to slide the key lock and then starting the app. I guess you'd put the icon for the app in the top left or right corner?