During a review of our medication use process, I was struck by an apparent inconsistency that appears endemic among hospital pharmacists and was wondering if others had noted and/or were concerned. Every order in the hospital undergoes an independent review except those generated by pharmacists. When pharmacists perform dosing consults, they routinely enter and verify their own orders. I haven't found a good amount of literature addressing the risks of pharmacist enter/verify versus prescriber enter with independent verify, though some folks looked at this concern about ten years ago when CPOE was really ramping up. Any best practices for pharmacists in this area? Is this a concern for others? Has anyone compared medication events that actually reached the patient in terms of pharmacist versus prescriber generated, normalized for their order volume?