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Published on: April 23, 2019
Medical Surveillance for Hazardous Drugs: A Qualitative Assessment of Current Practices
Richard D Newcomb1, Rosemary Frasso, Phoebe Cruz
1Division of Preventive Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota (Drs Newcomb, Breeher, and Molella); Center for Public Health Initiatives (Dr Frasso), School of Social Policy and Practice, University of Pennsylvania, Philadelphia, Pennsylvania (Ms Cruz); and Division of Occupational and Environmental Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (Dr Green-McKenzie).
Objective:
The National Institute for Occupational Safety and Health recommends that institutions establish a medical surveillance program for workers who handle hazardous drugs. Our aim was to investigate current practices with occupational medicine practice (OMP) national leaders.
Methods:
A series of qualitative telephone interviews were conducted with 11 OMP national leaders from medical centers in 10 states. Interviews were recorded, transcribed, and coded using a directed content analysis. Codes were organized into themes.
Results:
All respondents were board-certified physicians in medical center OMP. Interviews up to 45 minutes found three themes: policy interpretation, benefits and barriers to surveillance, and potential respondent-generated solutions. Three of 10 medical centers provided medical surveillance.
Conclusions:
Medical surveillance for hazardous drugs is infrequent, and consensus is lacking regarding standard practices. Further work is needed to minimize risk to health care workers.
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