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Over half of the >2 million Americans with prescription opioid use disorders report accessing these drugs through diversion of prescribed medications. Government agencies and professional societies such as the American College of Obstetricians and Gynecologists (ACOG) have disseminated guidance on measures to minimize opioid misuse. In 2016, investigators conducted a survey of ACOG fellows regarding their knowledge of and adherence to four recommended approaches to outpatient opioid prescribing (including at hospital discharge): Screen patients for opioid dependence, provide the smallest appropriate number of pills, tailor opioid prescriptions, and counsel patients regarding proper use, storage, and disposal of opioids.
Among 179 respondents…