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Drug test
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===Occupational harm reduction strategies=== Drug and alcohol impairment while at work increases the risk of work-place accidents and decreases productivity. Employers such as the commercial driving and airline industry may conduct random drug tests on employees with the goal of deterring use to improve safety.<ref>{{Cite journal|last1=Akanbi|first1=Maxwell O.|last2=Iroz|first2=Cassandra B.|last3=O'Dwyer|first3=Linda C.|last4=Rivera|first4=Adovich S.|last5=McHugh|first5=Megan Colleen|date=January 2020|title=A systematic review of the effectiveness of employer-led interventions for drug misuse|journal=Journal of Occupational Health|volume=62|issue=1|pages=e12133|doi=10.1002/1348-9585.12133|issn=1348-9585|pmc=7293184|pmid=32533807}}</ref> There is some evidence that increasing the use of random drug testing in the airline industry reduces the percentage of people who test positive, however, it is unclear if this decrease is associated with a corresponding decrease in fatal or non-fatal injuries, other accidents, number of days absent from work.<ref name=":0">{{Cite journal|last1=Els|first1=Charl|last2=Jackson|first2=Tanya D.|last3=Milen|first3=Mathew T.|last4=Kunyk|first4=Diane|last5=Wyatt|first5=Graeme|last6=Sowah|first6=Daniel|last7=Hagtvedt|first7=Reidar|last8=Deibert|first8=Danika|last9=Straube|first9=Sebastian|date=2020-12-27|title=Random drug and alcohol testing for preventing injury in workers|journal=The Cochrane Database of Systematic Reviews|volume=2020|issue=12|pages=CD012921|doi=10.1002/14651858.CD012921.pub2|issn=1469-493X|pmc=8130990|pmid=33368213}}</ref> It is also not clear if there are other unwanted side effects that may result from random drug and alcohol testing in the workplace.<ref name=":0" />
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