Managing Occupational Risks of Hazardous Drugs in Healthcare Settings

Subject of Planned Report: This dissemination describes the health and safety risks associated with exposure to hazardous drugs in healthcare settings, and discusses methods to control those risks.

Purpose of Planned Report: The dissemination will inform workers and managers in healthcare workplaces, including healthcare professionals, administrative workers, and environmental control staff, of the potential risks associated with exposure to hazardous drugs, how to recognize the presence of hazardous drugs, and how to properly label, handle and store hazardous drugs.

Type of Dissemination: Influential Scientific Information.

Timing of Review: 05/01/2020 to 08/01/2020

Type of Review: Individual letter reports.

Opportunities for the Public to Comment: Yes
Comment period announced via Federal Register Notice. Public comment period concurrent with peer review. Comments may be submitted by any of the following methods:

Peer Reviewers Provided with Public Comments Before the Review: No

Anticipated Number of Reviewers: 4 – 10

Primary Disciplines or Expertise: Industrial hygiene, engineering, occupational safety and health

Reviewers Selected By: NIOSH

Public Nominations Requested for Reviewers: No

Charge to Peer Reviewers:

  1. Please provide feedback on the overall document:
    1. What additional information would improve its usefulness and why?
    2. What changes could be made to improve the utility of the information?
    3. What information is redundant, incorrect, missing, or not needed? Please explain.
  2. Please provide any additional studies or scientific information that evaluate or validate engineering, work practice or administrative controls to reduce exposures to hazardous drugs in healthcare settings.
  3. Please provide any additional studies or scientific information that support or validate the use of the NIOSH recommended control strategies or alternative strategies to control exposures to hazardous drugs.
  4. Please provide any additional studies or scientific information that support or validate evidence-based strategies or approaches for controlling exposures to hazardous drugs that are different from those that NIOSH has proposed.
  5. NIOSH has provided its proposed recommendations and related information about controlling hazardous drugs in the Table of Control Approaches in Chapter 8.
    1. What additional information would improve the usefulness of this table and why?
    2. What structural or format changes could be made to improve the utility of this table?
    3. What information is redundant, incorrect, missing, or not needed? Please explain.
  6. What improvements could be made to this risk management information to make it more useful to employers and healthcare workers? Please provide specific examples.
  7. Please provide information about your professional experience, if any, of implementing control strategies for exposures to hazardous drugs in healthcare or similar settings. Please describe what you found to be most or least effective and why. Include relevant publications if available.
  8. Please provide any additional comments or suggestions either as a list below or using Track Changes in the attached draft document.
Page last reviewed: June 10, 2020