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Drug diversion by healthcare professionals has been a long standing but little known challenge in clinical practice. The
implications from an individual, professional, organizational and systems perspective are devastating. While organizations
struggle with the cost of surveillance and monitoring of controlled substances, programs to support the individual as both a
patient and professional often fail. As a result, the problem manifests in unresolved torment for the individual, loss of an
experienced health professional, ongoing organizational costs and barriers to achieving optimal patient care and downstream
system effects of an unemployed addict. What are yet to be explored are the psychological underpinnings of why some health
professionals pilfer personal use narcotics, diverting them from either the prescribed patient or during disposal processes.
What are the psychological challenges faced by health professionals who chose to divert controlled substances? Can mitigating
factors such as pre-licensure education, professional introspection and reflection combined with easy access to supportive
services reduce the impact of drug diversion at both a macro and micro level? A root cause analysis (RCA) will be offered
with a focus on the psychological traits and behaviors of health professionals with impulse to divert controlled substances. A
systematic review of the literature will accompany the RCA in support of these research questions.