Yes, after a similar error early on I have also become terribly paranoid about sending the wrong information to a patient. Now, after I send to UpDox and select the patient, I mouse over the attachment and triple check that it is for the correct patient. My worst times are when, after a morning in the procedure room, I have imported a number of notes on very similar procedures on different patients from a memory stick to imported items and am sending them to the portal along with comments. It is about a 20 mouse click process, and every one can cause a disaster.