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Using urine drug testing to support healthy boundaries in clinical care

Howard A. Heit, MD, FACP, FASAM, Douglas L. Gourlay, MD, MSc, FRCPC, FASAM


Risk management is first and foremost about protecting patients. This article will examine risk management in general, and urine drug testing (UDT) in particular, as core constituents in an effective, comprehensive risk management strategy. The article will explore UDT as a tool to help practitioners and patients make better choices in the clinical management of chronic pain. How one makes these difficult clinical decisions based on UDT results as well common barriers encountered in conducting patient-centered UDT will also be examined.


urine drug testing, risk management, patient-centered

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