Mar 23, 2026

Russ Nix, Consulting Associate Director, and Dr. Stacey McCoy, Pharmacy Clinical Program Manager for the Clinical Surveillance and Compliance business at Wolters Kluwer Health, highlight the problem of drug diversion in healthcare environments and the shared responsibility to prevent this breach. AI-enabled software is becoming crucial in detecting suspicious patterns, the types of individuals most likely to steal drugs, and gaps in the supply chain from ordering to delivering drugs to the patient. While opioids are the most commonly diverted drugs, motivated by substance abuse and addiction, other medications, including non-controlled substances, insulin, and high-cost cancer drugs, are also at risk. Effective prevention programs focus on a culture in which staff feel safe reporting concerns and seeking help.

Russ explains, "Drug diversion is basically when you're in a healthcare system where the medications in that facility are not going to their intended destination. And that's typically what we see most of, a deliberate taking of those medications, whether it was a substance abuse issue or your healthcare practitioners or staff outside of the facility, are taking those medications and basically denying your patients that medication. And it is a pretty significant issue since the opioid crisis, again in the early 2000s or late 1990s."  

Stacey elaborates, "So ideally, we want to be in a position where we're able to utilize software applications or a mixture of software applications to have oversight of what's being ordered, what's coming in, and what's going on inside our pharmacies, what's inside the machines on each hospital floor. Just imagine you have such a varied audience. Every single hospital floor has 15 or so nurses working. Those nurses need to grab medications from machines, like a vending machine. So the pharmacist is responsible for making sure that's taking place properly."

"Then that same team or person was also responsible for making sure that what's removed from the machines truly makes it to the patients in a safe and sound manner. So there are a number of breakpoints within the process that someone has to oversee. Ideally, we'd like to make sure that drug diversion prevention takes place using the most up-to-date software applications that are AI-enabled, and that we have multidisciplinary governance on these teams."

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