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- W4306177593 abstract "Introduction: Opioid diversion and misuse present significant problems in modern medicine, claiming over 250,000 lives since 1999, with prescription opioids as a major culprit for opiate misuse. Currently, there are no well-described, data-driven processes to educate surgeons on reducing opiate prescribing. We aimed to design and implement a novel opiate reclamation and prescription reduction program for surgeons to reclaim unused medication and decrease prescribing using individual provider data. Methods: We performed a prospective collection of all unused opiate pain medication for general surgery postoperative patients from July 15, 2020 to January 15, 2021. Patients brought unused opiates to their follow-up appointments where they were counted and disposed of in a secure drug take-back bin. The reclaimed medication was then totaled, analyzed and reported to the providers, who then determined whether to change prescribing habits. Results: During the reclamation period, 168 surgical cases were performed, with a total of 12,970 morphine milligram equivalents (MME) opiate prescribed by 5 physicians. Among these cases, a total of 6,077.5 MME (46.9%) were reclaimed, equivalent to 800 5-mg tabs of oxycodone. Based upon these data, surgeons subsequently decreased opiate prescribing by 30.9% during the next 6 months, and by repeating the protocol, reclaimed an additional 3,150 MME during the second analysis period on top of their already reduced prescribing. Conclusion: Continuous monitoring of the medication returned by patients can now be used to inform providers’ prescribing practices, decrease the amount of opiates in the community, safely reclaim unused opiates, and improve patient safety." @default.
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- W4306177593 date "2022-10-17" @default.
- W4306177593 modified "2023-10-17" @default.
- W4306177593 title "BOOTS and UTES: Bringing Opiates Off the Streets and Undertaking Excess Scripts" @default.
- W4306177593 doi "https://doi.org/10.1097/01.xcs.0000895864.26236.51" @default.
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