Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?

Jerard Z Kneifati-Hayek; Elias Geist; Jo R Applebaum; Alexis K Dal Col; Hojjat Salmasian; Clyde B Schechter; Noémie Elhadad; Joshua Weintraub; Jason S Adelman

Study

Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?

January 17, 2024

Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. BMJ Qual Saf. 2024;33(2):132-135.

View more articles from the same authors.

Near misses (also referred to as close calls) represent important opportunities for safety improvement. Using retrospective data from January 1 to December 31, 2019, this study calculated the proportion of wrong-patient imaging orders involving radiation that are intercepted, and those that reached the patient. The researchers estimated an overall rate of 51.5 per 100,000 imaging orders involving wrong-patient orders, with 50 near-miss events for every 1 error that reached the patient.

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Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

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