Navigation Links
All hospitals should require drug, alcohol tests for physicians
Date:5/7/2013

To improve patient safety, hospitals should randomly test physicians for drug and alcohol use in much the same way other major industries in the United States do to protect their customers. The recommendation comes from two Johns Hopkins physicians and patient safety experts in a commentary published online April 29 in The Journal of the American Medical Association.

In addition, the experts say, medical institutions should take a cue from other high-risk industries, like airlines, railways and nuclear power plants, and mandate that doctors be tested for drug or alcohol impairment immediately following an unexpected patient death or other significant event.

"Patients might be better protected from preventable harm. Physicians and employers may experience reduced absenteeism, unintentional adverse events, injuries, and turnover, and early identification of a debilitating problem," write authors Julius Cuong Pham, M.D., Ph.D., an emergency medicine physician at The Johns Hopkins Hospital, and Peter J. Pronovost, M.D., Ph.D., director of the Johns Hopkins Armstrong Institute for Patient Safety and Quality. Gregory E. Skipper, M.D., of the drug and alcohol treatment center Promises, in Santa Monica, CA. also contributed.

Pham, Pronovost and Skipper note that "mandatory alcohol-drug testing for clinicians involved with unexpected deaths or sentinel events is not conducted in medicine," even though physicians are as susceptible to alcohol, narcotic and sedative addiction as the general public. (A sentinel event is an incident which results in death or serious physical harm.)

The authors recommend in their commentary that hospitals take a number of steps as a model to address this overlooked patient safety issue. They are:

  • Mandatory physical examination, drug testing or both, before a medical staff appointment to a hospital. This already occurs in some hospitals and has been successful in other industries.

  • A program of random alcohol-drug testing.

  • A policy for routine drug-alcohol testing for all physicians involved with a sentinel event leading to patient death.

  • Establishment of testing standards by a national hospital regulatory or accrediting body. The steps could be limited to hospitals and their affiliated physicians at this time, since hospitals have the infrastructure to conduct adverse event analysis and drug testing, note the authors. Hospitals also have the governing bylaws to guide physician conduct and an existing national accrediting body, The Joint Commission, the authors add.

In cases in which a physician is found to be impaired, a hospital could "suspend or revoke privileges and, in some cases, report this to the state licensing board," the authors write. Impaired physicians would undergo treatment and routine monitoring as a condition for continued licensure and hospital privileges.

"Patients and their family members have a right to be protected from impaired physicians," argue the authors in the JAMA commentary. "In other high-risk industries, this right is supported by regulations and surveillance. Shouldn't medicine be the same? A robust system to identify impaired physicians may enhance the professionalism that peer review seeks to protect."


'/>"/>

Contact: Mark Guidera
mguider1@jhmi.edu
443-898-2320
Johns Hopkins Medicine
Source:Eurekalert

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Heart Attack Survival Varies Widely Among Hospitals, Study Finds
3. In Some Brain Bleeds, Patients Do Better at High-Volume Hospitals
4. Fewer prostate cancer surgery complications found in teaching hospitals with fellowship programs
5. Urban Hospitals May Act as Breeding Ground for MRSA
6. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
7. Under pressure from Medicare, hospitals hold more seniors for observation
8. Ethics should drive health policy reform, especially with physician-owned specialty hospitals
9. Hospitals communication during residency matching may put stress on OB-GYN doctors-in-training
10. Becker's Hospital Review Shares 50 Top Grossing Hospitals in the Country
11. Lighthouse Worldwide Solutions Now Monitors Air Quality in Hospitals and Operating Rooms
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... A revolution is underway. ... ambulance transport experience for the millions of people who require these medical transport ... taxi industry through the use of technology. Now, SmartEMS has put forth an ...
(Date:6/26/2016)... ... 26, 2016 , ... PawPaws brand pet supplements owned by Whole ... enhance the health of felines. The formula is all-natural and is made from Chinese ... PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and ...
(Date:6/25/2016)... ... 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due to ... a new, often overlooked aspect of head lice: the parasite’s ability to live away from ... common occurrence, but a necessary one in the event that lice have simply gotten out ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health and ... their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards took ... the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to receive ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)...  Collagen Matrix, Inc., ("Collagen Matrix") the driving ... collagen and mineral based medical devices for tissue ... Messer has joined the company as Vice ... growing portfolio of oral surgery, neurosurgery, orthopaedic and ... the Collagen Matrix executive team as an accomplished ...
(Date:6/24/2016)... , June 24, 2016 ... the "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural ... Structural electronics involves electronic and/or ... protective structures, replacing dumb structures such as vehicle ...
(Date:6/24/2016)... Research and Markets has announced the addition of ... report to their offering. ... The World Market for Companion Diagnostics covers the world market ... the report includes the following: , World ... Region (N. America, EU, ROW), 2015-2020 , World IVD ...
Breaking Medicine Technology: