This article discusses the scientific and ethical implications of random drug testing in the workplace. Random drug testing, particularly in safety-sensitive sectors, is a common practice, yet it has received little critical analysis. My conclusion is that there are important ethical challenges with these programs. Employers must ensure that every aspect of their policies are rooted in scientific evidence, linked rationally to the goal of workplace safety, and are ethically justifiable.
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References
1.
SackettDLRichardsonWSRosenbergWHaynesRB. Evidence-Based Medicine: How to Practice & Teach EBM. New York: Churchill Livingstone; 1997.
2.
RichardsonBWJohn SnowMD. A representative of medical science and art of the Victorian era. Br J Anaesth. 1952;24(4):267–291(reprinted from The Asclepiad of 1866).
3.
Theaetetus, by Plato, section 201D. [Jowett B, Trans.]; 369 BC.
4.
GerardJ.Galileo Galilei. In the Catholic Encyclopedia. New York: Robert Appleton Company; 1909. Retrieved from New Advent. Available athttp://www.newadvent.org.cathen.06342b.htm. Accessed April 30, 2015.
5.
CashmanCMRutsalainenJHGreinerBABeirnePVVerbeekJH. Alcohol and drug screening of occupational drivers for preventing injury. Cochrane Database Syst Rev. 2009;(2):13. doi:10.1002/14651858.CD006566.pub2.
6.
PiddKRocheAM. How effective is drug testing as a workplace safety strategy. A systematic review of the evidence. Accid Anal Prev. 2014;71:154–165.
7.
BradyJEBakerSPDimaggioCMcCarthyMLRebokGWLiG. Effectiveness of mandatory alcohol testing programs in reducing alcohol involvement in fatal motor carrier crashes. Am J Epidemiol. 2009;170(6):775–782.
8.
Communications, Energy and Paperworkers Union of Canada, Local 30 v. Irving Pulp & Paper, Ltd, 2013 SCC 34, 2 S.C.R. 458 (2013).
9.
Grading of Recommendations Assessment, Development and Evaluation. Working Group 2007. Downloaded from Essential Evidence Plus at. Web site.http://www.essentiallevidenceplus.com. Accessed February 20, 2015.
10.
ChristieTJiwaniBAsratGMontessoriVMathiasRMontanerJ. Ethical and scientific issues surrounding solid organ transplantation in HIV-positive patients: Absence of evidence is not evidence of absence. Can J Infect Dis Med Microbiol. 2006;17(1):15–18.
11.
Canadian Charter of Rights and Freedoms, Section 2, Part I of the Constitution Act, 1982, being Schedule B to the Canada Act 1982 (UK), 1982, c 11.
12.
R v Oakes, 1 SCR 103, 1986 CanLII 46 (SCC) (1986).