A strategy to prevent substance abuse in an academic anesthesiology department

ArticleinJournal of clinical anesthesia 22(2):143-50 · March 2010with20 Reads
Impact Factor: 1.19 · DOI: 10.1016/j.jclinane.2008.12.030 · Source: PubMed


    Substance abuse is the most serious occupational safety issue associated with the practice of anesthesiology, with an incidence as high as 1% per year of training. The Cleveland Clinic's Anesthesiology Institute approached the process from the perspective of active prevention, including specific mandatory education programs for all department personnel on a recurring basis, strengthened procedures for the detection and prevention of diversion of controlled substances, enhanced skill building for detection of impairment, and implemented a multi-faceted drug testing program, including random and "for cause" urine screens, for prevention and early detection of abused anesthetic drugs and other substances of abuse. After 18 months of preparation, a Substance Abuse Prevention Protocol was created, which has been fully implemented as of September 1, 2007.