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Metabolic monitoring for antipsychotics — USMLE Step 3 MCQ

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ModeratePsychiatry (outpatient management)Metabolic monitoring for antipsychoticsUSMLE Step 3

A community mental health clinic finds that fewer than half of patients prescribed second-generation antipsychotics have documented weight, glucose, and lipid monitoring. The medical director wants a sustainable clinic-level intervention. 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: BAdd an electronic registry with standing metabolic monitoring reminders

A registry or EHR reminder system is a quality measure that improves reliable metabolic monitoring for patients receiving antipsychotics.

Reference: APA Schizophrenia Guideline; AHRQ Quality Improvement