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. 2019 Aug 26;173(10):979–985. doi: 10.1001/jamapediatrics.2019.2733

Table 3. Wrong-Patient Orders Among Singleton-Birth Infants, Twins, and Higher-Order Multiple-Birth Infants.

Variable Wrong-Patient Orders, by Order Wrong-Patient Orders, by Patient Wrong-Patient Orders, by Set
Total Orders, No. RAR Events, No.a RAR Events per 100 000 Orders, No.a Total Patients, No. RAR Events, No.a RAR Events, % of Patientsa Total Sets, No. RAR Events, No.a RAR Events, % of Setsa
Singleton-birth infants 1 225 632 511 41.7 9250 352 3.8 NA NA NA
Twins 269 808 165 61.2 1410 112 7.9 705 101 14.3
Higher-order multiple-birth infantsb 40 720 40 98.2 159 23 14.5 52 20 38.5

Abbreviations: RAR, retract-and-reorder; NA, not applicable.

a

Retract-and-reorder (RAR) events are defined as 1 or more orders placed for a patient that are retracted (ie, canceled) by the same clinician within 10 minutes, then reordered by the same clinician for a different patient within the next 10 minutes.

b

In these data, higher-order multiple-birth infants include triplets and quadruplets.