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Index/Ops/The Operations Podcast with Fexingo
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How a Hospital Pharmacy Cut Drug Diversion by 90 Percent with Operations

The Operations Podcast with Fexingo · 2026-07-23 · 10 min

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Topics in this episode

Healthcare operationshospital pharmacy drug diversionopioid theft preventionpharmacy inventory managementcontrolled substance tracking

Episode notes

In this episode of The Operations Podcast, Lucas and Luna examine a major hospital pharmacy's battle against drug diversion, specifically opioid theft by employees. They break down the operational root causes - sloppy inventory tracking, unsupervised vault access, and a culture that looked the other way - and the surprisingly low-tech fixes that drove an estimated 90 percent reduction over 18 months. Lucas explains how a combination of RFID tracking for controlled substances, random cycle counts, and mandatory dual-sign-off for high-risk medications eliminated the most common diversion loopholes. Luna challenges whether the real change was technological or cultural, and they debate how much of the success was due to process redesign versus fear of getting caught. The episode closes with a reflection on what makes operational interventions stick when human behavior is the variable. Ideal for listeners interested in healthcare operations, inventory control, and the intersection of process and ethics.

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