June 13, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.05.004

Pharmacy Interventions on Medication Orders Increase With Emergency Medicine Clinician Time-on-Shift

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The authors aimed to evaluate the relationship between clinician time-on-shift and the rate of pharmacist interventions on medication orders in emergency departments. Their study found that as clinician time-on-shift increased, the likelihood of pharmacist interventions also rose, indicating that decision fatigue may impact medication safety and appropriateness. This effect varied by clinician type and was site-dependent, suggesting that addressing clinician fatigue could enhance patient care quality.

Stephen Fatuzzo, Christian A Koziatek, Christian Graulty, Marissa Ruggiero, Jung G Kim, Samantha Smalley, Kelsey Keeley, Yelan Wang, Joseph Offenbacher, Silas W Smith, Ian Wittman, Christopher Caspers, Catherine Jamin, Nicholas Genes

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