Some hospitals found that very few of their physicians had registered to prescribe controlled substances - even among physicians who had many patients likely to need these medications! Think about the physicians who work with your end-of-life patients (e.g., geriatricians, oncologists, general internists). Are they registered or authorized to prescribe controlled substances? If not, the institution may be willing to make such registration a requirement for maintaining hospital staff privileges.
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This online version of the book Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians is provided with permission of Americans for Better Care of the Dying [ www.abcd-caring.org ] and Oxford University Press. All rights reserved.
For further information on quality improvement in end-of-life care visit The Palliative Care Policy Center [ www.medicaring.org ].