title: Drug testing physicians for substances of abuse: case report of a false-positive result.
abstract: The risk of a false-positive urine drug screen is one of the major impediments to widespread implementation of drug testing programs in anesthesiology. A case of a false-positive urine screen for ketamine in an anesthesia provider is presented, with recommendations for methods of managing such an event.
authors.affiliation: Harvard Medical School, Boston, MA 02115, USA; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA. Electronic address: mfitzsimons@partners.org.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Fitzsimons
authors.affiliation: Harvard Medical School, Boston, MA 02115, USA; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Ishizawa
authors.affiliation: Harvard Medical School, Boston, MA 02115, USA; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
authors.forename: Keith H
authors.initials: KH
authors.lastname: Baker
mesh_terms: D000776:Anesthesiology; D000778:Anesthetics, Dissociative / Q000652:urine; D005189:False Positive Reactions; D006801:Humans; D007649:Ketamine / Q000652:urine; D010815:Physician Impairment; D010820:Physicians; D015813:Substance Abuse Detection / Q000379:methods*; D019966:Substance-Related Disorders / Q000175:diagnosis*
chemical_list: D000778:Anesthetics, Dissociative; D007649:Ketamine
keywords: Anesthesiologists; Drug testing; Ketamine; Substance abuse