Adelman JS, Applebaum JR, Southern WN, et al. - Via a cohort study of 1,536,160 orders placed for 10,819 infants in six neonatal intensive care units at two healthcare systems, researchers evaluated the risk of wrong-patient orders among multiple-birth infants and singletons receiving care in the NICU and investigated the proportion of wrong-patient orders among multiple-birth infants and siblings (intrafamilial errors) and amongst multiple-birth infants and nonsiblings (extrafamilial errors). In comparison with singleton-birth status, multiple-birth status in the NICU was correlated with a significantly elevated risk of wrong-patient orders. This excess risk seemed to be owing to misidentification among siblings. Among multiple-birth infants, a different naming convention as needed by The Joint Commission may give inadequate protection against identification errors. Approaches to decrease this risk involve using given names at birth, changing from temporary to given names when available, and supporting parents to select names for multiple births formerly to their birth when acceptable to families.