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