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Colonoscopy follow-up tracking — USMLE Step 3 MCQ

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HardPreventive Medicine, Epidemiology, BiostatisticsColonoscopy follow-up trackingUSMLE Step 3

A health system finds that 22% of patients with positive fecal immunochemical tests have no colonoscopy within 6 months. Responsibility is unclear after results are released electronically. Which of the following is the most appropriate quality improvement measure?

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

Reveal the answer and explanation

Correct answer: E — Create a registry with assigned staff tracking positive tests to completion

Closed-loop tracking systems ensure abnormal screening results receive appropriate diagnostic follow-up.

Reference: Agency for Healthcare Research and Quality diagnostic safety guidance: https://www.ahrq.gov/