University of Oklahoma Health Sciences Center

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Author/s:

Ramel, C.M., Habermann, E.B., Thiels, C.A., Dierkhising, R.A.

Date Added:

August 10, 2020

Journal/Publication:

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

Publication Date:

August 4, 2020

Issue:

Volume:

Pages:

357-361

URL:

Provision of a Drug Deactivation System for Unused Opioid Disposal at Surgical Dismissal: Opportunity to Reduce Community Opioid Supply

Type:

Best Local Practices

Format:

Article

DOI (1):

https://doi.org/10.1016/j.mayocpiqo.2020.04.007

Keywords

opiods

opiod disposal

MeSH

Analgesics

opioid

RPR Commentary

A relatively simply way to help patients dispose of unused opioids. James W. Mold, MD, MPH

Abstract

Objective

To determine the impact of a drug deactivation system to post-surgical patients on the rate of opioid prescription disposal.

Patients and Methods

Two hundred post-operative patients discharged after inpatient surgery at a large academic medical center. This study was conducted August 20, 2018, through November 30, 2018. Patients were provided with a drug deactivation system (DDS) and instruction sheet along with their opioid prescription. Three to 4 weeks after dismissal, patients were surveyed about quantity of opioids remaining, use of DDS or other disposal methods, and satisfaction with DDS if used.

Results

One hundred forty-nine of 200 (74.5%) patients were surveyed. One hundred six reported leftover opioids and 29 (27.3%) had disposed of these medications. By the time of survey, 23 (21.2%) participants with leftover opioids had used the DDS to destroy their remaining supply and an additional 33 (31.1%) participants reported plans to use the disposal bag on a future date. Of the 23 participants who used the DDS, 22 (96.0%) reported that they were very satisfied with the disposal process.

Conclusion

Participants are willing to use a DDS and are satisfied with the process; however, additional education is needed to ensure timely disposal.

Text Availability

Commercial full text (fees may apply)