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Medication reconciliation safety — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareMedication reconciliation safetyUSMLE Step 3

A clinic reviews 6 months of data and finds several older patients had hypoglycemia after hospital discharge because outpatient insulin doses were not updated in the primary care record. Events occurred after different clinicians saw discharge summaries. The clinic wants a system-level change. Which of the following is the most appropriate quality improvement measure?

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Correct answer: EImplement standardized post-discharge medication reconciliation

Medication reconciliation after transitions of care is a systems-based safety intervention that reduces discrepancies and preventable adverse drug events.

Reference: AHRQ Medication Reconciliation Patient Safety Resources