{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:53:19Z","timestamp":1777935199334,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute on Aging, National Institutes of Health","award":["K24AG054415"],"award-info":[{"award-number":["K24AG054415"]}]},{"name":"National Institute on Aging, National Institutes of Health","award":["K76AG088348"],"award-info":[{"award-number":["K76AG088348"]}]},{"name":"The Medical Student Training in Aging Research Program and the National Institute on Aging","award":["T35AG026736"],"award-info":[{"award-number":["T35AG026736"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Centralized locations in the electronic health record (EHR) improve access to advance care planning (ACP) information; however, the prevalence of documentation errors in these locations is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this cross-sectional study, we included primary care patients aged \u226565 years or \u226518 years with a serious illness. We verified errors using keyword queries and categorized them as \u201cPatient Safety Errors\u201d (e.g., ACP not in the centralized location) or \u201cNoise Errors\u201d (e.g., non-ACP in the centralized location). Associations between patient characteristics and errors versus no errors were evaluated using bivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 10,767 patients, 5374 (49.9%) had ACP in their EHR, and 495 (9.2%) of those had a verified error; 32.9% were Patient Safety Errors. Patients with errors were more likely to self-identify as from a minoritized population, be non-English speaking, and have a serious illness (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Identifying documentation errors can help health systems create solutions for reliably scanning and storing patients\u2019 wishes and decreasing disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251395440","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:01:42Z","timestamp":1763744502000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Errors in Electronic Health Record Advance Care Planning Documentation: It\u2019s a Patient Safety Issue"],"prefix":"10.1177","author":[{"given":"Seth N.","family":"Randa","sequence":"first","affiliation":[{"name":"School of Medicine, University of California, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Nouri","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Department of Medicine, University of California, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne M.","family":"Walling","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, California, USA."},{"name":"Greater Los Angeles Veterans Affairs Healthcare System, David Geffen School of Medicine, University of California, Los Angeles, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanan","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike K.W.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of California, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine S.","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Division of Palliative Care and Geriatric Medicine, Mongan Institute Center for Aging and Serious Illness, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brookelle","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA."},{"name":"San Francisco Veterans Affairs Health Care System, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Vanegas","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Department of Medicine, University of California, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elle","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca L.","family":"Sudore","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA."},{"name":"San Francisco Veterans Affairs Health Care System, San Francisco, 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USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzh050"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.09.018"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0774"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1017\/S096318011800052X"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0459"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.203"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0142"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0326"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2019.0040"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.06.025"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01168-7"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.3687"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12105"},{"issue":"5","key":"e_1_3_1_15_2","first-page":"371","article-title":"Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey","volume":"64","author":"Howard M","year":"2018","unstructured":"Howard M, , Bernard C, , Klein D, et al. Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey. Can Fam Physician, 2018; 64(5):371\u2013377.","journal-title":"Can Fam Physician"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0472"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0451"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.12.002"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.180"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0825859719860129"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-001824"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-10-18"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909117693578"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S441969"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119885585"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0528"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218251395440","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218251395440","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218251395440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:48:56Z","timestamp":1777690136000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218251395440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,17]]},"references-count":25,"alternative-id":["10.1177\/10966218251395440"],"URL":"https:\/\/doi.org\/10.1177\/10966218251395440","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,17]]},"article-number":"10966218251395440"}}