Literature DB >> 21460174

Compliance with recommendations for prevention and detection of controlled-substance diversion in hospitals.

Steven R McClure1, Brian C O'Neal, Dennis Grauer, Rick J Couldry, Allison R King.   

Abstract

PURPOSE: The use of recommended practices for preventing and detecting diversion of prescription controlled substances at U.S. acute-care institutions, as reported by a sample of pharmacy service providers, were characterized.
METHODS: A 41-item questionnaire was developed for an online survey of directors of pharmacy regarding strategies to combat controlled-substance diversion at their institutions. The survey questions were based on recommendations presented in a 2007 series of articles in the professional literature focusing on diversion control in three areas (the pharmacy, the operating room, and nursing units). Only institutions that had an accredited pharmacy residency program or were members of the University HealthSystem Consortium (UHC), an alliance of U.S. academic medical centers and affiliated hospitals, were targeted for the survey. Four hundred ninety-nine pharmacists were invited to participate in the survey, and 140 survey responses were received; all respondents did not answer all questions.
RESULTS: The survey responses indicated considerable variation among the institutions in the use of 37 specific recommended practices, as reported by the pharmacy providers. Statistical analysis of comparative data suggested that larger institutions (400 or more licensed beds) were more likely to be using more of the recommended practices.
CONCLUSION: The results of a survey of directors of pharmacy at a sample of U.S. institutions (hospitals that had pharmacy residency programs or were UHC members) suggest wide variation in facilities' use of recommended practices for the prevention and detection of controlled-substance diversion.
Copyright © 2011, American Society of Health-System Pharmacists, Inc. All rights reserved.

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Year:  2011        PMID: 21460174     DOI: 10.2146/ajhp100212

Source DB:  PubMed          Journal:  Am J Health Syst Pharm        ISSN: 1079-2082            Impact factor:   2.637


  8 in total

1.  Quality Initiative Using Theory of Change and Visual Analytics to Improve Controlled Substance Documentation Discrepancies in the Operating Room.

Authors:  Jenny E Dolan; Hannah Lonsdale; Luis M Ahumada; Amish Patel; Jibin Samuel; Ali Jalali; Jacquelin Peck; JoAnn C DeRosa; Mohamed Rehman; Anna M Varughese; Allison M Fernandez
Journal:  Appl Clin Inform       Date:  2019-07-31       Impact factor: 2.342

2.  Identification of Drugs in Parenteral Pharmaceutical Preparations from a Quality Assurance and a Diversion Program by Direct Analysis in Real-Time AccuTOFTM-Mass Spectrometry (DART-MS).

Authors:  Justin L Poklis; Amanda J Mohs; Carl E Wolf; Alphonse Poklis; Michelle R Peace
Journal:  J Anal Toxicol       Date:  2016-07-29       Impact factor: 3.367

3.  The Prevalence and Determinants of Controlled Substance Discrepancies in a Level I Trauma Hospital.

Authors:  Chukwuma Anyanwu; Oliver Egwim
Journal:  Am Health Drug Benefits       Date:  2016-05

4.  Controlled substance diversion in health systems: A failure modes and effects analysis for prevention.

Authors:  Karen Nolan; Andrew R Zullo; Elliott Bosco; Christine Marchese; Christine Berard-Collins
Journal:  Am J Health Syst Pharm       Date:  2019-07-18       Impact factor: 2.637

5.  Compliance with Recommended Practices for Management of Controlled Substances in a Health Care Facility and Corrective Actions.

Authors:  Manon Videau; Suzanne Atkinson; Maxime Thibault; Denis Lebel; Jean-François Bussières
Journal:  Can J Hosp Pharm       Date:  2018-06-30

Review 6.  Controlled Substance Waste: Concerns, Controversies, Solutions.

Authors:  Frank Breve; Jo Ann K LeQuang; Lisa Batastini
Journal:  Cureus       Date:  2022-02-24

7.  Detecting drug diversion in health-system data using machine learning and advanced analytics.

Authors:  Tom Knight; Bernie May; Don Tyson; Scott McAuley; Pam Letzkus; Sharon Murphy Enright
Journal:  Am J Health Syst Pharm       Date:  2022-08-05       Impact factor: 2.980

8.  Vulnerabilities for Drug Diversion in the Handling, Data Entry, and Verification Tasks of 2 Inpatient Hospital Pharmacies: Clinical Observations and Healthcare Failure Mode and Effect Analysis.

Authors:  Maaike de Vries; Mark Fan; Dorothy Tscheng; Michael Hamilton; Patricia Trbovich
Journal:  J Patient Saf       Date:  2022-01-01       Impact factor: 2.844

  8 in total

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