{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:23:01Z","timestamp":1782778981024,"version":"3.54.5"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objective: Medication order voiding allows clinicians to indicate that an existing order was placed in error. We explored whether the order voiding function could be used to record and study medication ordering errors.<\/jats:p>\n               <jats:p>Materials and Methods: We examined medication orders from an academic medical center for a 6-year period (2006\u20132011; n\u2009=\u20095\u2009804\u2009150). We categorized orders based on status (void, not void) and clinician-provided reasons for voiding. We used multivariable logistic regression to investigate the association between order voiding and clinician, patient, and order characteristics. We conducted chart reviews on a random sample of voided orders (n\u2009=\u2009198) to investigate the rate of medication ordering errors among voided orders, and the accuracy of clinician-provided reasons for voiding.<\/jats:p>\n               <jats:p>Results: We found that 0.49% of all orders were voided. Order voiding was associated with clinician type (physician, pharmacist, nurse, student, other) and order type (inpatient, prescription, home medications by history). An estimated 70\u2009\u00b1\u200910% of voided orders were due to medication ordering errors. Clinician-provided reasons for voiding were reasonably predictive of the actual cause of error for duplicate orders (72%), but not for other reasons.<\/jats:p>\n               <jats:p>Discussion and Conclusion: Medication safety initiatives require availability of error data to create repositories for learning and training. The voiding function is available in several electronic health record systems, so order voiding could provide a low-effort mechanism for self-reporting of medication ordering errors. Additional clinician training could help increase the quality of such reporting.<\/jats:p>","DOI":"10.1093\/jamia\/ocw187","type":"journal-article","created":{"date-parts":[[2017,2,24]],"date-time":"2017-02-24T21:35:11Z","timestamp":1487972111000},"page":"762-768","source":"Crossref","is-referenced-by-count":15,"title":["Learning from errors: analysis of medication order voiding in CPOE systems"],"prefix":"10.1093","volume":"24","author":[{"given":"Thomas G","family":"Kannampallil","sequence":"first","affiliation":[{"name":"Department of Family Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, Northwestern University, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Solotskaya","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine, University of Illinois at Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sneha G","family":"Philip","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine, University of Illinois at Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce L","family":"Lambert","sequence":"additional","affiliation":[{"name":"Department of Communication Studies, Center for Communication and Health, Northwestern University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon D","family":"Schiff","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston, MA, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Wright","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston, MA, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William L","family":"Galanter","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine, University of Illinois at Chicago"},{"name":"Department of Pharmacy Practice, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,2,19]]},"reference":[{"issue":"12","key":"2020110612443546300_ocw187-B1","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1001\/archinte.163.12.1409","article-title":"Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review","volume":"163","author":"Kaushal","year":"2003","journal-title":"Arch Int Med."},{"key":"2020110612443546300_ocw187-B2","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1001\/jama.280.15.1311","article-title":"Effect of computerized physician order entry and a team intervention on prevention of serious medication errors","volume":"280","author":"Bates","year":"1998","journal-title":"JAMA."},{"issue":"4","key":"2020110612443546300_ocw187-B3","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1136\/jamia.1999.00660313","article-title":"The impact of computerized physician order entry on medication error prevention","volume":"6","author":"Bates","year":"1999","journal-title":"J Am Med Inform Assoc."},{"issue":"1","key":"2020110612443546300_ocw187-B4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.7326\/0003-4819-139-1-200307010-00010","article-title":"Computer physician order entry: Benefits, costs, and issues","volume":"139","author":"Kuperman","year":"2003","journal-title":"Ann Intern Med."},{"issue":"1","key":"2020110612443546300_ocw187-B5","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1542\/peds.113.1.59","article-title":"Computerized physician order entry and medication errors in a pediatric critical care unit","volume":"113","author":"Potts","year":"2004","journal-title":"Pediatrics."},{"issue":"2","key":"2020110612443546300_ocw187-B6","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1038\/sj.jp.7211000","article-title":"Impact of computerized physician order entry on clinical practice in a newborn intensive care unit","volume":"24","author":"Cordero","year":"2004","journal-title":"J Perinatol."},{"issue":"10","key":"2020110612443546300_ocw187-B7","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1001\/jama.293.10.1197","article-title":"Role of computerized physician order entry systems in facilitating medication errors","volume":"293","author":"Koppel","year":"2005","journal-title":"JAMA."},{"key":"2020110612443546300_ocw187-B8","unstructured":"AHRQ Patient Safety Network. \nComputerized provider order entry. 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