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Overnight and postcall errors in medication orders.
Hendey GW, Barth BE, Soliz T. Acad Emerg Med. 2005;12:629-634.

This study examined the incidence of prescribing errors that occurred on-call, post-call, and off-call for a group of residents at a single teaching hospital. Through a retrospective chart review, investigators discovered that orders written either on-call or post-call were associated with a greater error rate than those written on an off-call day. Results also suggested increased error rates with medication orders when written by less experienced residents and for patients on general medical/surgical services. The authors conclude that additional research to understand the contributing factors will provide a strategy for necessary intervention.

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