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Transitions of care — USMLE Step 3 MCQ

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ModerateEthics, Patient Safety, Quality Improvement, Systems-Based PracticeTransitions of careUSMLE Step 3

A patient with heart failure is discharged Friday and readmitted Monday because he did not understand the increased diuretic dose and no follow-up appointment was made. Similar events have occurred repeatedly. Which of the following is the most appropriate quality improvement measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Create a standardized discharge process with teach-back and scheduled follow-up

Teach-back, medication reconciliation, and scheduled follow-up address transition failures.

Reference: AHRQ patient safety network, https://psnet.ahrq.gov/