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Drug-induced impaired performance

D D'Auria1

  • 1Department of Public Health Sciences, St George's Hospital Medical School, London, United Kingdom.

Annals of the Academy of Medicine, Singapore
|September 1, 1994
PubMed
Summary

Medication use in the workforce is rising, yet the behavioral impacts of drugs, including illicit substances and anesthesia effects, are often overlooked in risk assessments. This paper reviews drug effects and proposes guidelines for assessing drug-induced performance impairment.

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Area of Science:

  • Occupational Health
  • Pharmacology
  • Behavioral Science

Background:

  • Increasing medication use in the workforce aims to minimize absenteeism.
  • The behavioral effects of drugs are under-researched and rarely included in occupational risk assessments.
  • Employees may be affected by illicit drugs, alcohol, or residual anesthesia effects.

Purpose of the Study:

  • To review methods for evaluating the behavioral effects of drugs.
  • To examine the performance effects of behaviorally toxic drugs using driving as a model.
  • To provide guidelines for clinicians assessing drug-induced performance impairment risks.

Main Methods:

  • Literature review of drug effects on behavior.
  • Analysis of established performance effects of key drug classes on driving.
  • Development of assessment guidelines for occupational physicians.

Main Results:

  • Identified strengths and weaknesses of various methods for assessing drug-induced behavioral changes.
  • Detailed the impact of principal classes of behaviorally toxic drugs on driving performance.
  • Outlined a framework for risk assessment of drug-impaired performance in the workplace.

Conclusions:

  • Occupational physicians need better tools to assess drug-induced performance impairment.
  • Understanding the behavioral toxicology of medications and other substances is crucial for workplace safety.
  • Guidelines are proposed to aid in managing risks associated with drug use in employees.

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