To the Editor Dr Pham and colleagues1 suggested innovative ways to protect patients. We recognize that physician substance misuse occurs and agree that prevention could improve patient safety. However, there is insufficient evidence that random drug testing of physicians effectively improves quality or performance. Targeted testing based on reasonable suspicion should be used instead for any physician who appears impaired.
Stolbach A, Nelson LS, Hoffman RS. Protection of Patients From Physician Substance Misuse. JAMA. 2013;310(13):1402–1403. doi:10.1001/jama.2013.277948
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