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Heart failure readmissions — USMLE Step 3 MCQ

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HardInternal Medicine (chronic management)Heart failure readmissionsUSMLE Step 3

A hospital finds that many patients discharged after heart failure exacerbation are readmitted within 30 days. Chart review shows inconsistent discharge weights, unclear diuretic instructions, and no early outpatient appointments. The team wants a sustainable 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: C — Use a standardized discharge bundle with weight, medication, and follow-up checklist

Standardized discharge processes addressing medications, education, and timely follow-up reduce preventable readmissions.

Reference: Agency for Healthcare Research and Quality care transitions guidance: https://www.ahrq.gov/