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Diagnostic test follow-up — USMLE Step 3 MCQ

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HardEthics, Patient Safety, Quality Improvement, Systems-Based PracticeDiagnostic test follow-upUSMLE Step 3

A primary care clinic reviews malpractice claims and finds repeated failures to follow up abnormal imaging. Results arrive in multiple inboxes, and no staff member owns tracking. The team wants to close the loop. Which of the following is the most appropriate quality improvement measure?

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Correct answer: DCreate a results-management registry with named responsibility and escalation rules

Closed-loop test-result management requires clear ownership, registries or work queues, and escalation for unresolved abnormal findings.

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