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Medication reconciliation — USMLE Step 3 MCQ

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ModerateEthics, Patient Safety, Quality Improvement, Systems-Based PracticeMedication reconciliationUSMLE Step 3

A clinic reviews 30-day readmissions and finds several older patients restarted discontinued antihypertensives after discharge because hospital medication changes were not reflected in the outpatient chart. Nurses report discharge summaries often arrive after the follow-up visit. Which of the following is the most appropriate quality improvement measure?

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Correct answer: A — Implement structured medication reconciliation at every transition of care

Medication reconciliation at transitions reduces discrepancies and preventable adverse drug events, especially after hospitalization.

Reference: Agency for Healthcare Research and Quality medication reconciliation toolkit