A primary care clinic reviews records and finds that many patients with hypertension have elevated office readings but no documented home or

Question

A primary care clinic reviews records and finds that many patients with hypertension have elevated office readings but no documented home or ambulatory measurements before medication escalation. Several patients developed hypotension after treatment intensification. Which of the following is the most appropriate quality improvement measure?

Accepted Answer

Create an electronic prompt for validated out-of-office blood pressure confirmation

Answer

Schedule renal imaging for patients with mild elevations

Answer

Replace nursing blood pressure checks with patient self-report

Answer

Treat every single elevated office reading with two drugs

Answer

Remove blood pressure measurement from annual visits

Hypertension diagnostic confirmation — USMLE Step 3 MCQ