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MWD-76-125 1 (1976-05-10)

handle is hein.gao/gaobaaamk0001 and id is 1 raw text is: 


                COMPTROLLER GENERAL OF THE UNITED STATES
                           WASHINGTON, D.C. 20548


B- 133044                                   MY 10 1916          0137q/








The Honorable Alan Cranston
Chairman, Subcommittee on Health
  and Hospitals
Committee on Veterans' Affairs
United States Senate

Dear Mr. Chairman:

     Your letter of February 2, 1976, asked that we analyze the
Veterans Administration's Department of Medicine and Surgery
Circular 10-75-283, dated December 3, 1975, entitled Security of
Controlled Substances. You were interested specifically in whether
the steps outlined in the circular would be effective in dealing j/
with matters noted in our report on missing drugs in VA hospitals.-
At the time of our analysis VA had issued to all of its health care
facilities Professional Services Letter (PSL) IL 11-76-2, dated
January 10, 1976, in addition to Circular 10-75-283, as a result
of our report. Unlike circulars, PSLs are not directive in nature
and hospitals are not required to adopt the suggested actions.

     Circular 10-75-283 is mainly concerned with physical security
of bulk supplies of controlled drugs--bulk supplies being defined
as those drugs in excess of 24 hour needs--and not with measures
to determine whether drug loss is occurring. PSL IL 11-76-2 sug-
gested several actions, ostensibly designed to provide increased
accountability for drugs.

     Although the actions described by VA in these publications may
 improve controls over drugs, we do not believe they are totally
                 I


1iPotentially Dangerous Drugs Missing in VA Hospitals--Different
   Pharmacy System Needed (MWD-75-103, September 30, 1975).


                                                        MWD-76-125

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