Controlled Substance Monitoring Agent
Monitors controlled substance dispensing for diversion risk, PDMP signals, and stewardship exceptions.
Diversion and unsafe controlled-substance use threaten patient safety and organizational compliance
Dispensing, waste, ADC transactions, and PDMP data live in separate systems, making pattern detection slow and retrospective
Stewardship exceptions—high MME, overlapping opioids/benzodiazepines, frequent early refills—are easy to miss at scale
The Controlled Substance Monitoring Agent continuously monitors dispensing for diversion risk, PDMP signals, and stewardship exceptions so pharmacy and compliance teams can intervene early
The agent aggregates controlled-substance dispensing, automated dispensing cabinet activity, waste documentation, and PDMP queries. It scores diversion and misuse risk, flags stewardship exceptions, and routes investigations to pharmacy leadership and compliance with full audit trails.
Aggregate Controlled Substance Activity
- Ingest dispensing, ADC pulls, waste, returns, and override events
- Link transactions to providers, nurses, patients, and locations
- Pull PDMP query results and external fill signals where available
Score Diversion and Misuse Risk
- Detect anomalous user patterns (e.g., waste discrepancies, odd-hour access)
- Identify patient-level red flags: early refills, multi-provider, high MME
- Cross-check PDMP signals for multi-pharmacy or cash-pay patterns
Flag Stewardship Exceptions
- Apply opioid stewardship rules (MME thresholds, concurrent benzos, duration)
- Flag missing PDMP checks where policy requires them
- Highlight exceptions to formulary and protocol for controlled drugs
Route Investigations and Document Outcomes
- Open investigation cases for pharmacy and compliance teams
- Preserve chain-of-custody evidence and audit logs
- Track remediation, education, or referral outcomes