Cochrane · systematic review · CD012921

Random drug and alcohol testing for preventing injury in workers

Els, C, Jackson, TD, Milen, MT, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

InjuriesAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
1
No studies
5
Included studies
NR
No studies 5 · 83.3%Ungraded 0 · 0%Very low 1 · 16.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

The effects of random alcohol testing (RAT) on workplace safety outcomes and adverse events

Population: Workers in positions with safety‐sensitive functions, other than commercial drivers
6 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of positive results found by RAT among airline employees in the USA Random tests were conducted by certified technicians using National Highway Traffic Safety Administration approved devices according to the US Department of Transportation Pr...
no estimate extractedNRVery low
Downgraded: indirectness
Fatal injuries — not measured
no estimate extractedNRNo studies
Non‐fatal injuries — not measured
no estimate extractedNRNo studies
Non‐injury accidents — not measured
no estimate extractedNRNo studies
Absenteeism — not measured
no estimate extractedNRNo studies
Adverse events associated with RAT — not measured
no estimate extractedNRNo studies