RxDetectRx by iatricSystems
DetectRx connects your EHR, dispensing cabinets, and timekeeping, scores every suspicious event, and hands your team a prioritized queue instead of a monthly report.
The hidden crisis
People who divert learn which transactions are rarely checked and when spot checks happen. Monthly report pulls give them weeks to work, and the damage lands on patients, staff, and the institution.
Monthly review vs. DetectRx
"Drug diversion monitoring relied entirely on manual processes and monthly pulled data reports. We had no consolidated view of controlled substance data across the health system."
How it works
DetectRx does the data assembly your team does by hand today, then puts the highest-risk activity at the top of the list.
DetectRx pulls EHR, automated dispensing cabinet, and timekeeping data into one view of every controlled substance event.
Machine learning finds behavior that departs from normal patterns. Expert-written rules catch known diversion indicators.
Each flagged event gets a risk score weighted by risk type, drug, user history and tenure, and prior flags.
Investigators see a full activity timeline, document their findings, and export a PDF for HR, legal, or regulators.
Three systems, one picture
A dispense for a patient discharged hours earlier. Waste totals that do not match what was pulled. A nurse active on a unit while off shift. Each one only appears when these sources are read together.
Electronic medical record
Administration documentation, orders, patient status, and pain scores.
Automated dispensing cabinets
Every dispense, waste, and return at the cabinet level.
Timekeeping
Shift schedules and staffing assignments, to spot off-shift or off-location activity.
Med activity by user in wrong location risk detected with activity on 8/17/2026, 08:05 because the staff was assigned to ICU2 for their shift but activity location is ER.
Risk library
Machine learning flags unusual pain score documentation, users in the wrong location, and statistical outliers. Expert-written rules cover the known diversion patterns. Together they watch far more than any manual review program could, without gaps between reviews.
Dispense without administration, controlled substances pulled for several patients in a short window, and maximum-dose dispenses.
Administration with no documented dispense, a different user giving than pulling, and missing pain score documentation.
Administered, wasted, and returned amounts that do not add up to what was dispensed, plus whole-dose wastes and returns.
Medication activity by a user who is not on shift, or who is working in a different location than the patient.
Witnesses off shift or in the wrong location, and activity on patients who have been discharged or have expired.
Insulin dispensed or administered without a corresponding glucose test result.
AVA, your virtual investigator
Without automation, notifying a supervisor, collecting their assessment, and opening an investigation takes calls and emails over hours or days, and often never happens. AVA does it in minutes for every high-risk event.
You configure
Sends a notification
Email or SMS goes to the manager or supervisor responsible for the flagged activity.
Delivers a questionnaire
The manager sees a concise risk summary and answers targeted questions.
Files the response
AVA documents the answers, opens an investigation if needed, and assigns it.
Closes or escalates
Cleared events close automatically. No response in time escalates to a wider group.
From alert to resolution
No more scattered files, email chains, or spreadsheet logs. Every action is timestamped and available to authorized team members.
For pharmacy and diversion teams
For executives and compliance officers
Customer story: Renown Health
Renown Health serves more than one million people across northern Nevada, including the region's only Level II Trauma Center. Its diversion program ran on manual monthly reports. With DetectRx, it monitors nearly five times as many risk factors, continuously, in one platform.
"The iatricSystems team learned our barriers and helped us troubleshoot the configurations that are necessary for us to implement DetectRx. They have been flexible and truly understand the individual needs of our health system."
Customer story: Peterson Health
This independent, nonprofit health system in the Texas Hill Country moved from spot checks to reviewing every outlier transaction, and built new accountability between pharmacy and clinical teams.
"DetectRx didn't just help look for potential diversion. It found practices that may have needed to be improved or practices that we didn't know existed."
"We look at the data and we work together without pointing fingers at each other."
"Not only are we providing more complete charting and better information on the medical record, we're keeping the patient safe."
Built for enterprise healthcare
DetectRx works alongside your EHR, dispensing cabinets, and timekeeping platform instead of replacing them, and its cloud architecture scales from a community hospital to a multi-site system.
Standards supported
Security and compliance
FAQ
Also watching patient privacy?
Haystack iS, also from iatricSystems, monitors every access to patient records.
Explore Haystack iSDetectRx is cloud-based drug diversion monitoring software from iatricSystems. It combines EHR, automated dispensing cabinet, and timekeeping data, then uses machine learning and expert-written rules to find and score signs of diversion, policy non-compliance, and administration irregularities.
Pharmacy directors and diversion managers, compliance and patient safety officers, nurse managers and supervisors, and health system executives who need visibility into risk across facilities.
Each flagged medication event receives a score weighted by the type of risk, the drug involved, the user history and tenure, and any prior flags. Scores of 80 and above are high risk, 60 to 79 are medium, and below 60 are low.
When an event scores above the high-risk threshold, AVA notifies the responsible manager, sends a questionnaire, records the answers, and opens or closes an investigation. If no one responds in time, it escalates. You configure the triggers, recipients, and escalation chain.
Leading EHRs including Epic, Oracle Health (Cerner), MEDITECH, athenahealth, and Allscripts, plus automated dispensing cabinets and timekeeping platforms. It supports HL7, FHIR, REST APIs, and SMART on FHIR.
Schedule a DetectRx ConsultationNo. DetectRx is cloud-hosted, so implementation is faster and your team does not maintain servers for it. It scales from community hospitals to multi-site health systems.
Yes. You choose which risk types are monitored and how they are weighted, set AVA thresholds and recipients, and define investigation outcome categories. The iatricSystems implementation team configures it with you.
A 15-minute conversation about your EHRs, your current diversion program and systems, and your requirements. If DetectRx is a good fit, we schedule a product demonstration.
Schedule a DetectRx ConsultationFree consultation
15 minutes
Pick a time that works for you. A Dictation Direct specialist will walk through your program and answer your questions.
If DetectRx is a good fit, we schedule a full product demonstration.
