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I'm also an advocate of third-party software that helps companies manage elevated accounts. I often run into Cyber-Ark's privilege identity manager solutions. It's pretty cool stuff and perfect for managing elevated accounts. Admin accounts can be locked into a digital vault, then protected by granular policies that enforce rules and checkout procedures in order for an elevated account to be used. One of my favorite features is the one-time-use passwords, where the password is changed for each user and occasion. You can also easily enable auditing of who used what accounts when.