Massachusetts General Hospital, Department of Anesthesia, Critical Care, and Pain Medicine, Boston, USA.
Hospital Sírio-Libanês, Serviços Médicos de Anestesia (SMA), São Paulo, SP, Brazil; Hospital Municipal Infantil Menino Jesus, Serviços Médicos de Anestesia (SMA), São Paulo, SP, Brazil.
Braz J Anesthesiol. 2023 Nov-Dec;73(6):810-818. doi: 10.1016/j.bjane.2023.07.008. Epub 2023 Jul 28.
Diversion of substances from the care of the intended patient is a significant problem in healthcare. Patients are harmed by the undertreatment of pain and suffering, transmission of disease, as well as the risk associated with impaired vigilance. Healthcare providers may be harmed by the physical and mental impact of their addictions. Healthcare systems are placed in jeopardy by the legal impact associated with illegal routes of drug release including sanction and financial liability and loss of public trust. Healthcare institutions have implemented many measures to reduce diversion from the perioperative area. These efforts include education, medical record surveillance, automated medication dispensing systems, urine drug testing, substance waste management systems, and drug diversion prevention teams. This narrative review evaluates strengths, weaknesses, and effectiveness of these systems and provides recommendations for leaders and care providers.
物质从预期患者的护理中转移是医疗保健中的一个重大问题。患者因疼痛和痛苦的治疗不足、疾病传播以及与警觉受损相关的风险而受到伤害。医疗保健提供者可能会因成瘾的身心影响而受到伤害。医疗保健系统因与非法药物释放途径相关的法律影响而处于危险之中，包括制裁和财务责任以及公众信任的丧失。医疗机构已经采取了许多措施来减少围手术期的药物转移。这些努力包括教育、病历监测、自动化药物配药系统、尿液药物测试、药物废物管理系统和药物转移预防小组。本叙述性评论评估了这些系统的优缺点和有效性，并为领导者和护理人员提供了建议。
