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The Investigative Process

This is the fourth in a six-part series on diversion of controlled substances in an acute health care setting. The six articles are meant to accompany the recommendations in the Hospital Pharmacy article “Controlled Substance Diversion Detection: Go the Extra Mile” for a comprehensive analysis of all aspects of controlled substance handling.1 The series focuses on preventing diversion from automated dispensing cabinets, the operating room, and at all handling points within a pharmacy. The objective of the series is to provide practical recommendations to aid pharmacy managers as they seek to prevent or detect diversion. Experience is key to diversion detection; however, a pharmacy should not have to experience their own diversion in order to learn from it. The collective experience of pharmacy leaders at the Ohio State University Medical Center and the University of Kansas Hospital is gathered to assist other pharmacy leaders in the hopes that they will not have to gain this experience firsthand. This article will focus on the investigative process. Each point will be described in detail, with recommendations on how to improve your diversion detection system.