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Oops! I Placed an Order on the Wrong Patient

Jason Adelman MD, MS

Chief Patient Safety Officer
Executive Director, Patient Safety Research
Associate Chief Quality Officer
Co-Director, Patient Safety Research Fellowship

Columbia University Irving Medical Center/
NewYork-Presbyterian Hospital

Placing orders on the wrong patient errors is a major Health IT Safety issue. We will review the Wrong-Patient Retract-and-Reorder (RAR) Measure, the first and only health IT safety measure endorsed by National Quality Forum (NQF #2723). The Wrong-Patient RAR measure has made possible a new area of research that has led to new evidence for preventing these errors, and has informed national and international patient safety guidelines and regulations.

Presentation date: January 14, 2021.