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Assessing pharmacists' knowledge and compliance with narcotic inventory management using a computer-based educational

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Canadian pharmacy professionals demonstrate adequate knowledge of opioid inventory management but struggle with reporting losses and theft. Improved strategies are needed to enhance compliance and reduce drug diversion risks.

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Area of Science:

  • Pharmacy Practice
  • Drug Diversion Prevention
  • Regulatory Compliance

Background:

  • Pharmacy professionals must safeguard controlled substances, like opioids, to prevent diversion.
  • Understanding knowledge and compliance with regulations is crucial for effective inventory management.

Purpose of the Study:

  • To evaluate Canadian pharmacy professionals' knowledge and adherence to opioid regulations.
  • To identify gaps in understanding and practice using the Pharmacy5in5 educational platform.

Main Methods:

  • A Narcotic Inventory module was developed and validated by regulatory experts.
  • User performance on quizzes was analyzed using descriptive and inferential statistics (binomial and logistic regression).

Main Results:

  • 792 users accessed the module between July and November 2019.
  • Highest performance was in inventory reconciliation (93%); lowest in preparing for Health Canada visits (66%).
  • Most users were licensed pharmacists (64%), female (72%), Canadian-trained (68%), and from Ontario (80%).

Conclusions:

  • Pharmacy professionals generally understand opioid inventory regulations (CDSA).
  • Significant non-compliance exists in reporting controlled substance losses and theft.
  • Novel behavioral interventions are required to improve compliance and minimize drug diversion.