Diversion of controlled substances: a catalyst for change.
A quality improvement team was formed in response to a controlled substance diversion by an employee. The team's objectives were to track controlled substances throughout the institution and to design a system that would eliminate inappropriate access to controlled substances without negatively affecting patient care. The team utilized flow charts, staff interviews, and auditing tools to identify weaknesses within the current system. Subcommittees were formed to evaluate access and to develop an education campaign. It is the institution's responsibility to keep patients and staff safe by designing, implementing, and monitoring systems to appropriately control access to controlled substances.
Children's Mercy Hospitals and Clinics, Kansas City, MO, USA. khulse@cmh.edu
Kathy
K
Hulse
Liz
L
Edmundson
Robin
R
Carroll
D004335:Drug and Narcotic Control / Q000379:methods*; D006776:Hospitals, Pediatric; D006801:Humans; D007318:Inservice Training; D008332:Management Quality Circles; D008510:Medication Systems, Hospital / Q000592:standards*; D008923:Missouri; D009294:Narcotics / Q000600:supply & distribution*; D009741:Nursing Staff, Hospital / Q000193:education; D017064:Process Assessment, Health Care; D012308:Risk Management; D012637:Security Measures; D012985:Software Design; D013597:Systems Analysis; D013800:Theft / Q000517:prevention & control*; D017749:Total Quality Management / Q000379:methods*
D009294:Narcotics