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Medication reconciliation — USMLE Step 3 MCQ

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ModerateEthics, Patient Safety, Quality Improvement, Systems-Based PracticeMedication reconciliationUSMLE Step 3

A 76-year-old woman is admitted after a fall. A prior discharge list includes warfarin, but pharmacy fill history shows apixaban. She does not remember medication names and the team is preparing orders. Which of the following is the most appropriate quality improvement measure?

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Correct answer: E — Perform formal medication reconciliation using pharmacy and caregiver sources

Medication reconciliation across transitions reduces adverse drug events.

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