HealthJune 17, 2025

4 keys to cultural transformation for a successful drug diversion program

Successful drug diversion programs rely on collaboration within multidisciplinary teams. This approach enhances monitoring, streamlines investigations, and ensures greater accountability across departments, driving more effective outcomes.

As healthcare systems strive to prevent drug diversion, a comprehensive approach that includes effective workflows, education, and collaboration is crucial to success. Culture change is necessary for successful drug diversion prevention, engaging all levels of staff and leadership in proactive monitoring and prevention efforts. In this article, explore key strategies for building a robust drug diversion prevention culture.

Conducting thorough gap analyses and Gemba Walks

In healthcare, understanding the realities of frontline operations is essential for creating effective policies and procedures. Conducting thorough gap analyses and Gemba walks can help organizations identify barriers to compliance and improve drug diversion programs. When approaching a gap analysis, resources like the American Society of Health-System Pharmacists guidelines on preventing diversion of controlled substances and the Minnesota Hospital Association Road Map to Controlled Substance Diversion Prevention can be valuable references.

Implement a shadowing program that encourages leadership and drug diversion preventionists to gain a deeper understanding of policy adherence and staff pain points for nurses, technicians, or pharmacists. Utilize a gap analysis to assess policies against best practices, allowing the team to pinpoint areas for improvement. By engaging with staff on the floor, they can address the reasons for deviations from established protocols, ultimately leading to a more robust and compliant drug diversion program.

Fostering a culture of shared responsibility

To build a culture that supports drug diversion program success, healthcare organizations must encourage a shared responsibility among all staff members. Fostering a culture where everyone feels accountable for drug diversion detection and prevention can significantly enhance compliance and safety. One way this can be done is by shifting the mindset to "diversion is everyone's problem," leading to increased awareness and better documentation practices among staff. The cultural shift was instrumental in ensuring that all employees understand their roles in handling controlled substances responsibly.

Implementing regular education and training

Another instrumental strategy is to implement regular education and training for employees, reinforcing the protective rather than punitive benefits of diversion monitoring. The focus on employee assistance can reduce barriers for reporting suspected drug diversion and shift the focus to employee wellness and patient safety. In the evolving healthcare landscape, ongoing education is crucial to keeping staff informed about best practices and compliance requirements. A proactive approach not only reinforces the importance of compliance but also helps identify and address barriers that staff may encounter in their daily practices.

Promoting collaboration within multidisciplinary drug diversion teams

Collaboration within multidisciplinary teams is vital for the success of drug diversion programs. The healthcare industry increasingly recognizes that a collaborative approach can lead to more effective monitoring and investigation of drug diversion incidents. Consider conducting regular multidisciplinary meetings with representatives from multiple departments to discuss concerns and share insights. This collaborative effort ensures that various perspectives are considered, fostering a sense of ownership and accountability across departments.

When implemented in lockstep with the right talent and tools, each of these strategies can contribute to an environment where drug diversion is recognized as a collective responsibility. A successful drug diversion program relies on a culture that repositions monitoring as a supportive safeguard for patient care and staff wellbeing, rather than a punitive measure or unnecessary scrutiny. Leadership buy-in and cultivating a collaborative culture at all levels of the organization are essential for ensuring a committed and effective approach to drug diversion prevention. By prioritizing these elements, healthcare organizations can enhance compliance efforts and achieve outcomes that benefit the well-being of both patients and staff.

Uncover essential strategies and challenges in building effective prevention program through this recorded webinar: From risk to resilience: Drug diversion programs in action.

Learn About Sentri7 Drug Diversion
Gordon Watkins
Specialized Consulting Manager
Dr. Gordon Watkins has over 8 years of experience in institutional pharmacy clinical practice and operations, most specifically in implementing and optimizing pharmacy technology solutions.
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