Synergy - July/August 2013 - 24

industry feature

Want Hospital
Admitting
Privileges?
First Pass a Drug Test
By Robert Lowes

P

hysicians	seeking	medical	staff	privileges	at	a	hospital	
should	first	go	into	a	bathroom	and	fill	a	small	
paper	cup,	all	for	the	sake	of	patient	safety,	suggests	
an	article	published	online	April	29	in	JAMA.

Requiring	physicians	to	take	a	urine	drug	test	as	a	
condition	of	employment	is	already	the	norm	at	hospitals,	
but	lead	author	Julius	Pham,	MD,	PhD,	and	colleagues	
recommend	that	hospitals	also	screen	medical	staff	
applicants	for	possible	impairment	by	substance	abuse.
In	addition,	while	they	are	at	it,	hospitals	might	want	
to	subject	their	medical	staff	to	random	drug	tests	and	
test	physicians	involved	in	any	mishap	—	a	sentinel	
event,	in	quality-control	parlance	—	that	leads	to	a	
patient’s	death,	writes	Dr.	Pham,	an	associate	professor	
in	the	Armstrong	Institute	for	Patient	Safety	and	Quality	
at	Johns	Hopkins	School	of	Medicine	in	Baltimore,	
Maryland.	After	all,	airplane	pilots	are	screened	for	drug	
use	after	a	crash	or	near	miss.
“Patients	and	their	family	members	have	a	right	to	
be	protected	from	impaired	physicians,”	write	
Dr.	Pham	and	colleagues.	“In	other	high-risk	
industries,	this	right	is	supported	by	regulations	
and	surveillance.	Shouldn’t	medicine	be	
the	same?”
Noting	that	alcohol,	narcotic,	and	
sedative	addictions	are	as	common	
among	physicians	as	they	are	in	the	
general	population,	the	authors	write	that	
“physician	impairment	seems	to	be	a	
possible	contributor	to	patient	harm.”

Reprinted	with	permission	from	Medscape		
(http://www.medscape.com/),	2013,	available	at:	
http://www.medscape.com/viewarticle/804360

24

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SYNERGY July /A ugust 2013


http://www.medscape.com/ http://www.medscape.com/viewarticle/804360

Synergy - July/August 2013

Table of Contents for the Digital Edition of Synergy - July/August 2013

Synergy - July/August 2013
Contents
Editor’s Column
President’s Column
Two Healthcare Worlds Colliding
Telemedicine Services Credentialing and Privileging
What’s in Your Process?
Want Hospital Admitting Privileges? First Pass a Drug Test
Taking Care of Business: Building Value as an MSP
Participating in NAMSS PASS ™?
Synergy Product Guide
NAMSS News
Happenings
Consultants Directory
Synergy - July/August 2013 - Synergy - July/August 2013
Synergy - July/August 2013 - Cover2
Synergy - July/August 2013 - 1
Synergy - July/August 2013 - 2
Synergy - July/August 2013 - 3
Synergy - July/August 2013 - Contents
Synergy - July/August 2013 - 5
Synergy - July/August 2013 - Editor’s Column
Synergy - July/August 2013 - 7
Synergy - July/August 2013 - President’s Column
Synergy - July/August 2013 - 9
Synergy - July/August 2013 - Two Healthcare Worlds Colliding
Synergy - July/August 2013 - 11
Synergy - July/August 2013 - 12
Synergy - July/August 2013 - 13
Synergy - July/August 2013 - 14
Synergy - July/August 2013 - 15
Synergy - July/August 2013 - Telemedicine Services Credentialing and Privileging
Synergy - July/August 2013 - 17
Synergy - July/August 2013 - 18
Synergy - July/August 2013 - 19
Synergy - July/August 2013 - What’s in Your Process?
Synergy - July/August 2013 - 21
Synergy - July/August 2013 - 22
Synergy - July/August 2013 - 23
Synergy - July/August 2013 - Want Hospital Admitting Privileges? First Pass a Drug Test
Synergy - July/August 2013 - 25
Synergy - July/August 2013 - Taking Care of Business: Building Value as an MSP
Synergy - July/August 2013 - 27
Synergy - July/August 2013 - Participating in NAMSS PASS ™?
Synergy - July/August 2013 - 29
Synergy - July/August 2013 - Synergy Product Guide
Synergy - July/August 2013 - 31
Synergy - July/August 2013 - 32
Synergy - July/August 2013 - 33
Synergy - July/August 2013 - 34
Synergy - July/August 2013 - 35
Synergy - July/August 2013 - 36
Synergy - July/August 2013 - 37
Synergy - July/August 2013 - 38
Synergy - July/August 2013 - 39
Synergy - July/August 2013 - NAMSS News
Synergy - July/August 2013 - 41
Synergy - July/August 2013 - 42
Synergy - July/August 2013 - Happenings
Synergy - July/August 2013 - Consultants Directory
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