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Diabetes CKD screening quality improvement — USMLE Step 3 MCQ

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ModerateEthics, Patient Safety, Quality Improvement, Systems-Based PracticeDiabetes CKD screening quality improvementUSMLE Step 3

A clinic reviews 12 months of records and finds that adults with diabetes have urine albumin-creatinine ratio screening documented in 42% of eligible visits. The team wants a sustainable intervention that can be tested in one physician's panel next month before broader rollout. 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: A — Add an electronic health record prompt with monthly audit-and-feedback

An EHR prompt paired with audit-and-feedback targets the process gap, can be piloted, and supports iterative improvement. Punitive approaches and patient-dependent recall are less reliable systems interventions.

Reference: AHRQ patient safety and quality improvement methods