Presentation Outline ICHP Annual Meeting September 13-15
Presentation Outline ICHP Annual Meeting September 13-15
Presentation Outline ICHP Annual Meeting September 13-15
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Residency Project Pearls<br />
A pilot multidisciplinary team to monitor<br />
controlled substance documentation in a<br />
community hospital<br />
Tim Humlicek, PharmD<br />
PGY2 Solid Organ Transplant Pharmacy Resident<br />
Rush University Medical Center<br />
Chicago, IL<br />
Learning Objectives<br />
• <strong>Outline</strong> the process of interpreting controlled<br />
substance reports generated from automated<br />
dispensing machines that can identify hig risk<br />
users users.<br />
• Recognize potential controlled substance<br />
diversion episodes using electronic medication<br />
administration documentation<br />
Regulations<br />
• Drug Enforcement Administration (DEA)<br />
– Enforces the Controlled Substance Act<br />
– Employee pilferage and units lost in transit:<br />
• 22.7% of all unaccounted oxycodone in 2000‐2003<br />
• Joint Commission Standard MM.4.80<br />
– Requires processes to address diversion<br />
prevention and account for all unused, expired,<br />
or returned medications.<br />
1. Drug Enforcement Administration. Oxycodone theft & loss incidents: January 2000 through June 2003.<br />
http://www.deadiversion.usdoj.gov/drugs_concern/oxycodone/oxylosses_oct2003_1.pdf. Accessed July 28, 2011<br />
2. Keenly P, Uselton JP. Maintain Compliance with Joint Commission Medication Management Standards.<br />
http://www.psqh.com/julaug08/medication.html. Accessed July 28, 2011.<br />
Disclosure<br />
The author of this presentation has no actual or potential<br />
conflicts of interest.<br />
NorthShore University HealthSystem<br />
• Four acute care hospitals<br />
– Evanston Hospital: 354 beds<br />
– Glenbrook Hospital: 169 beds<br />
– Highland Park Hospital: 149 beds<br />
– Skokie Hospital: 195 beds<br />
• NorthShore Medical Group<br />
• NorthShore Research Institute<br />
• NorthShore Foundation<br />
Health System Diversion<br />
• Diversion: unlawful<br />
channeling of regulated<br />
pharmaceuticals from<br />
legal sources to illicit<br />
market – Multi<br />
• Opportunities<br />
– Destruction/Waste<br />
– Intrahospital transfer<br />
– Large Large‐volume volume removals<br />
Multi‐dose dose vials<br />
– Patient specific items<br />
– Point of purchase<br />
– Unauthorized removals<br />
Inciardi JA et al. Mechanisms of Prescription Drug Diversion Among Drug-Involved Cluband<br />
Street-Based Populations..Pain Med. 2007;8(2):171-183<br />
O’Neal B, Siegel J. Diversion in the Pharmacy. Hosp Pharm. 2007;42(2):145-148<br />
8/29/2012<br />
.<br />
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