Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.

Adina R Kern-Goldberger; Jason S Adelman; Jo R Applebaum; Wilhelmina Manzano; Dena Goffman

Commentary

Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.

September 23, 2020

Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Obstet Gynecol. 2020;136(1):161-166.

View more articles from the same authors.

This commentary presents two cases of near-miss wrong-patient order errors between mother-newborn pairs and discusses the unique threat the postpartum setting presents to electronic order safety. The article highlights opportunities for systems improvement.

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