Why the study?
Drug diversion from intended patients significantly harms patients, healthcare providers, and healthcare systems, requiring evaluation of institutional measures implemented to reduce perioperative diversion.
This narrative review evaluates systems to prevent drug diversion among anesthesiologists and provides recommendations for healthcare leaders.
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Alerts clinicians to diversion harms in perioperative settings; leaves open standardized prevention protocols pending rigorous trials.
Diversion of substances from the care of the intended patient is a significant problem in healthcare. Patients are harmed by the undertreatment of pain and suffering, transmission of disease, as well as the risk associated with impaired vigilance. Healthcare providers may be harmed by the physical and mental impact of their addictions. Healthcare systems are placed in jeopardy by the legal impact associated with illegal routes of drug release including sanction and financial liability and loss of public trust. Healthcare institutions have implemented many measures to reduce diversion from the perioperative area. These efforts include education, medical record surveillance, automated medication dispensing systems, urine drug testing, substance waste management systems, and drug diversion prevention teams. This narrative review evaluates strengths, weaknesses, and effectiveness of these systems and provides recommendations for leaders and care providers.
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Fitzsimons et al. (2023) studied this question.
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