Empowering Post-Surgical Patients to Improve Opioid Disposal: A Before and After Quality Improvement Study  Jessica M. Hasak, MPH, Carrie L. Roth Bettlach,

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Empowering Post-Surgical Patients to Improve Opioid Disposal: A Before and After Quality Improvement Study  Jessica M. Hasak, MPH, Carrie L. Roth Bettlach, NP, Katherine B. Santosa, MD, Ellen L. Larson, BA, Jean Stroud, RN, MBA, BSN, Susan E. Mackinnon, MD, FACS  Journal of the American College of Surgeons  Volume 226, Issue 3, Pages 235-240.e3 (March 2018) DOI: 10.1016/j.jamcollsurg.2017.11.023 Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 1 Study flow diagram. *9 in the before group and 6 in the after group declined to disclose what they did with excess medication; **Brochure-recommended methods of disposal include throwing away in the trash with an unpalatable substance or returning to police or pharmacy. Journal of the American College of Surgeons 2018 226, 235-240.e3DOI: (10.1016/j.jamcollsurg.2017.11.023) Copyright © 2017 American College of Surgeons Terms and Conditions

eFigure 1 Educational brochure. Reprinted courtesy of the Division of Plastic and Reconstructive Surgery, Washington University, St Louis, MO. Journal of the American College of Surgeons 2018 226, 235-240.e3DOI: (10.1016/j.jamcollsurg.2017.11.023) Copyright © 2017 American College of Surgeons Terms and Conditions

eFigure 2 Study questionnaire. Reprinted courtesy of the Division of Plastic and Reconstructive Surgery, Washington University, St Louis, MO. Journal of the American College of Surgeons 2018 226, 235-240.e3DOI: (10.1016/j.jamcollsurg.2017.11.023) Copyright © 2017 American College of Surgeons Terms and Conditions

eFigure 3 Improved educational brochure with single method of disposal. Reprinted courtesy of the Division of Plastic and Reconstructive Surgery, Washington University, St Louis, MO. Journal of the American College of Surgeons 2018 226, 235-240.e3DOI: (10.1016/j.jamcollsurg.2017.11.023) Copyright © 2017 American College of Surgeons Terms and Conditions