Pre-employment urine drug testing of hospital employees: future questions and review of current literature

@article{Levine2004PreemploymentUD,
  title={Pre-employment urine drug testing of hospital employees: future questions and review of current literature},
  author={Matthew R. Levine and William P. Rennie},
  journal={Occupational and Environmental Medicine},
  year={2004},
  volume={61},
  pages={318 - 324}
}
  • M. Levine, W. Rennie
  • Published 1 April 2004
  • Medicine, Political Science
  • Occupational and Environmental Medicine
Background: Patient safety and optimisation of worker performance are high current priorities. Arguments over employee drug testing have been debated over the past two decades. Aims: To review prior information to reveal how current principles and practices regarding pre-employment drug testing of health care workers evolved, and to explore pressing current and future issues. Methods: A literature search of Medline from 1980 to 1999 was performed. This yielded seven citations that reported… 

Tables from this paper

Workplace Drug Testing among Security Guards Using Urine Drug Tests , Cross-section Study
TLDR
A high prevalence of drug urine test positive results among security guards is shown which should be further studied using a case-control study design and a large sample size.
Random urine drug testing.
TLDR
Although the desired outcome for Fitzsimons et al was to “reduce the incidence of addiction,” their surrogate marker of success was a reduction in the number of positive urine tests, care must be taken not to assume that the cost-benefit of random urine testing in a population in which 100% abuse translates to apopulation in which 1% are substance abusers (anesthesia residency).
Drug testing practices in the US construction industry in 2008
Drug testing is an effective way to improve jobsite safety, productivity and profits. Since drug use impairs the abilities of construction workers, many construction companies have implemented drug
Pre-Employment Drug-Testing in the Full-Service Restaurant Industry and its Relationship to Employee Work Performance Factors
The purpose of this research is to assess the effect of pre-employment drug-testing policies on aspects of employee work performance in the full-service restaurant industry. Specifically, this study
Alcohol and drug screening of occupational drivers for preventing injury.
TLDR
There is insufficient evidence to advise for or against the use of drug and alcohol testing of occupational drivers for preventing injuries as a sole, effective, long-term solution in the context of workplace culture, peer interaction and other local factors.
Urine drug testing in chronic pain.
TLDR
This comprehensive review provides the role of UDT in monitoring chronic opioid therapy along with reliability and accuracy, appropriate use, overuse, misuse, and abuse.
Chemical Testing of Commercial Vessel Personnel: An Analysis of Archived Test Results
TLDR
It is found that chemical testing appears to have discouraged drug and alcohol use by commercial vessel personnel, reduced the potential for marine casualties related to drug andalcohol use, and enhanced the safety of the maritime transportation industry.
...
1
2
3
...

References

SHOWING 1-10 OF 62 REFERENCES
Chemical dependency and drug testing in the workplace.
TLDR
Testing methods when done correctly are less prone to error than in the past, but screening tests can be defeated by adulterants, and such tests are less reliable when the prevalence of drug abuse is also low.
Preemployment urine substance screening. One-year experience of a large hospital system.
TLDR
It was this corporation's experience that preemployment drug screening can be performed without great hardship to a large health care provider, including problems peculiar to the health care industry, eg, forensic testing stipulation agreements from professional boards.
Pre‐employment drug testing of housestaff physicians at a large urban hospital
  • R. Lewy
  • Medicine
    Academic medicine : journal of the Association of American Medical Colleges
  • 1991
TLDR
The author suggests the main value of the pre-employment drug testing program is to provide a focus for addressing issues related to substance abuse during graduate medical education.
Preemployment urine substance screening. One-year experience of a large hospital system.
  • A. B. Moore, L. Swafford
  • Medicine, Political Science
    Journal of occupational medicine. : official publication of the Industrial Medical Association
  • 1993
Alcohol and drug abuse is estimated to cost our nation more than $160 billion per year in lost productivity, health care costs and crime. Preemployment screening for substances of abuse has become a
The role of physicians as medical review officers in workplace drug testing programs. In pursuit of the last nanogram.
  • H. W. Clark
  • Medicine
    The Western journal of medicine
  • 1990
In discussing the role of physicians in workplace drug testing programs, I focus on the recent Department of Transportation regulations that require drug testing in such regulated industries as
The role of physicians as medical review officers in workplace drug testing programs. In pursuit of the last nanogram.
In discussing the role of physicians in workplace drug testing programs, I focus on the recent Department of Transportation regulations that require drug testing in such regulated industries as
Types of drug-testing programmes in the workplace.
TLDR
Rules, procedures and methods for the collection of biological specimens, the subsequent handling and analysis of the specimens and the reporting of the interpreted results are all important aspects to be dealt with in testing programmes.
Financial viability of screening for drugs of abuse.
  • M. Peat
  • Economics
    Clinical chemistry
  • 1995
TLDR
This study clearly demonstrates the financial benefits of preemployment drug testing and the decision to test is not based solely on this but also on the regulatory environment and on the potential impact of a major accident attributable to the use of drugs or alcohol in the workplace.
Overview on drug and alcohol testing in the workplace.
  • M. Hanson
  • Medicine, Political Science
    Bulletin on narcotics
  • 1993
TLDR
Scientific evidence on the nature and extent of alcohol and drug use by members of the workforce, evidence linking alcohol anddrug use to workplace problems, workplace strategies for managing alcohol- and drug-related difficulties, and arguments for and against drug and alcohol testing are examined.
An evaluation of preemployment drug testing.
As part of a blind longitudinal study, 5,465 job applicants were tested for use of illicit drugs, and the relationships between these drug-test results and absenteeism, turnover, injuries, and
...
1
2
3
4
5
...