Advertisement
Taking Aim at Physician Impairment

Taking Aim at Physician Impairment

When a critical event occurs in professions other than medicine, detailed investigations are conducted to examine systematic and individual factors that caused or contributed to the event. While these policies are the norm in many high-risk industries, they are not in place for medicine. Mandatory alcohol-drug testing for clinicians involved with unexpected deaths or sentinel events is not conducted in medicine, but research shows that alcohol, narcotic, and sedative addiction is as common among physicians as the general population. Furthermore, about one-third of all hospital admissions experience a medical error, meaning it’s possible that physician impairment can contribute to patient harm. Learning From Other High-Risk Industries To improve patient safety, medical institutions should take a cue from other high-risk industries and put policies in place that mandate employee testing for drug or alcohol impairment immediately after an unexpected or significant event occurs. Hospitals can take steps to address this overlooked patient safety issue. One such step is to have physicians participate in mandatory physical exams, drug testing, or both before medical staff appointments to a hospital can be made. This already occurs in some hospitals and has been successful in other industries. Hospitals should also consider random alcohol-drug testing and a policy of routine drug-alcohol testing for all physicians involved with a sentinel event leading to patient death.   An important component to addressing physician impairment is the establishment of testing standards by a national hospital regulatory or accrediting body. Medicine is under-regulated when compared with other industries. Hospitals can take the lead by capitalizing on their infrastructure to conduct adverse event analyses and drug testing and by governing...
[ HIDE/SHOW ]