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Report on the Supply and Management of Schedule 8 Controlled Drugs at Certain Public Hospitals in WA

Report · Corruption and Crime Commission (WA CCC) · Western Australia · Dated

Recommendations
1
Report length
49 pages

Summary

The report's own summary: INTRODUCTION, pages 7 to 8

Generated summary: written by an AI model from the report text and checked against the cited pages.

  • The Corruption and Crime Commission investigated drug theft and safeguards at two public hospitals in Western Australia.

    Report, page 9 · Report, page 10

  • It reviewed staff accounts, audit material, drug registers, requisition forms and archived records.

    Report, page 10

  • The Commission identified weaknesses in after-hours access, drug reconciliation, requisitions and register management, while finding no evidence of serious misconduct by anyone beyond the convicted pharmacist.

    Report, page 33 · Report, page 47

  • Its ten recommendations address access monitoring, reconciliation, separate duties, compliance checks, records, policies, knowledge sharing and automation.

    Report, page 47 · Report, page 48

In the body's own words

  1. Finding

    The Commission investigation revealed gaps in the management and control of Schedule 8 drugs at public hospitals.

    Report, page 33

  2. Conclusion

    There is no evidence of serious misconduct by anyone else.

    Report, page 47

Findings, opinions and statements

Allegations are not findings. A commission's finding or opinion of corrupt conduct or misconduct is not a finding that a person is guilty of a criminal offence, and the commissions say so in their reports.

No findings are reproduced in this record. This does not establish that the report contains none.

Recommendations 1

  1. Recommendation

    In order to reduce the likelihood of serious misconduct occurring at public hospitals in relation to the supply and management of Schedule 8 drugs, the Commission recommends WA Health and its poisons permit holders consider action with respect to the following: 1. After-hours access to pharmacy and safe Enhance monitoring of after-hours access to the pharmacy and the pharmacy safe. Give consideration to: (a) mandatory audits for all after-hours supply or dispensation from the pharmacy safe; (b) prohibiting after-hours solitary access to the pharmacy safe; and (c) increasing security and monitoring through technology. 2. Reconcile supply and receipt Develop and implement a practice to reconcile drugs supplied by a public hospital's pharmacy with receipt by wards and units. 3. Separation of duties Implement procedures that mandate and reinforce the 'separation of duties' in relation to each act required in the supply process. 4. Regular compliance checks (a) Conduct regular checks on randomly selected staff, wards and units in order to ascertain the extent of compliance with policies, procedures and practices; and (b) Conduct independent audits from time to time that measure compliance with policies, procedures and practices. 5. Registers Develop and implement practices in relation to registers that: (a) enable registers to be produced, without delay, in response to a request by an investigator or compulsory processes; (b) provide heightened security to the registers; and (c) audit the movement of registers. 6. Update and consolidate policies, procedures and practices Update and consolidate procedures and practices to align with the current statutory regime. 7. Knowledge sharing Implement a forum for chief pharmacists of public hospitals to share knowledge about drug diversion risks and solutions. 8. Modernise requisition and register system (a) Consider the introduction of an auditable electronic requisition process; and (b) Consider the introduction of auditable electronic registers. 9. Enhance automated systems (a) Take action to maximise Schedule 8 drugs on the imprest list; and (b) Take action to inhibit automated systems allowing a pharmacist to supply imprest drugs manually. 10. Progressively introduce automation to public hospitals Progressively introduce automated Electronic Storage and Supply Unit systems to public hospitals to enhance efficiencies and security.

    Report, page 47

Published responses

No published response was found.

Official documents 2

Notes on this record

  • Report type assigned by OPAX from the title; the Commission tags every listing item Report.

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