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Diagnostic error follow-up — USMLE Step 3 MCQ

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ModerateEthics, Patient Safety, Quality Improvement, Systems-Based PracticeDiagnostic error follow-upUSMLE Step 3

A woman was discharged with presumed viral illness and returns 18 hours later with sepsis from pyelonephritis. The physician recognizes that abnormal urinalysis was not reviewed. Which of the following is the most appropriate next step in management?

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

Reveal the answer and explanation

Correct answer: BAcknowledge the missed result and enter the case into safety review

Diagnostic errors should be acknowledged and used for structured safety learning while maintaining honest communication.

Reference: AMA Code of Medical Ethics; AHRQ patient safety guidance