| International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc |
| Journal website https://www.theijcp.org |
Review
Volume 11, Number 3, October 2022, pages 69-75
Development of a Policy and Procedure for Random Drug Screening of Healthcare Workers at a Tertiary Care Children’s Hospital: Initial Implementation and Preliminary Results
Table
| Intervention | Description |
|---|---|
| Educational programs regarding the impact of substance abuse | Lecture series (live, virtual, or recorded) discussing provider impairment and the risks, signs, and symptoms of substance abuse. |
| Automated or monitored medication dispensing systems | Dispensing of controlled substances by a centralized pharmacy or an automated medication dispensing system which records output and return. |
| Monitoring of unused and returned residual volumes | Unused portions of controlled substances are returned to pharmacy. Amount used verified against anesthetic record. |
| Closed-circuit video surveillance of medication dispensing and return | Video surveillance and recording of automated medication dispensing machines to identify variations or concerns with dispensing and return of unused medications. |
| Random assay of returned controlled substances to ensure that the appropriate medication is present | Returned samples randomly screened to rule out diversion of medication and substitution of saline. |
| Computer-based algorithms to identify abnormal medication use patterns including machine learning | Algorithms used to monitor electronic medical records including anesthesia documentation to identify variations in dosing and use of controlled substances. |
| Random drug screening of employees | Intermittent urine testing and screening of randomly identified employees. |