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Wrong-Patient Retract-and-Reorder (Wrong Patient-RAR) Measure

CBE ID
2723
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2026
1.3 Measure Description

A Wrong-Patient Retract-and-Reorder (Wrong Patient-RAR) event occurs when an order is placed on a patient within an EHR, is retracted within 10 minutes, and then the same clinician places the same order on a different patient within the next 10 minutes. A Wrong-Patient Retract-and-Reorder rate is calculated by dividing Wrong Patient-RAR events by total orders examined.

        • 1.5 Measure Type
          1.7 Electronic Clinical Quality Measure (eCQM)
          1.8 Level Of Analysis
          1.20 Testing Data Sources
        • 1.14 Numerator

          Total Wrong-Patient Retract-and-Reorder (Wrong-Patient RAR) events during a specified time period.

        • 1.15 Denominator

          All electronic orders placed during a specified time period.

        • Exclusions

          System-generated orders are excluded from the denominator. In some EHR systems, in addition to orders placed by clinicians, some orders are generated automatically by the EHR or other ancillary systems (e.g., the pharmacy system, the lab system, or other “interfaces”). Since these orders are not placed by an ordering clinician, they are not included in the denominator.

        • 1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Patient Safety Spring Cycle 2020
          Initial Endorsement
          Last Updated
        • Steward
          New York-Presbyterian Hospital
          Steward Organization POC Email
          Steward Organization Copyright

          None

              • Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off