Erschienen in:
01.08.2008 | Brief Report
A Computerized Aid to Support Smoking Cessation Treatment for Hospital Patients
verfasst von:
Kate E. Koplan, MD, MPH, Susan Regan, PhD, Robert C. Goldszer, MD, MBA, Louise I. Schneider, MD, Nancy A. Rigotti, MD
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 8/2008
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Abstract
Background
Hospital-based interventions promote smoking cessation after discharge. Strategies to deliver these interventions are needed, especially now that providing smoking cessation advice or treatment, or both, to inpatient smokers is a publicly reported quality-of-care measure for US hospitals.
Objective
To assess the effect of adding a tobacco order set to an existing computerized order-entry system used to admit Medicine patients to 1 hospital.
Measurements and Main Results
Proportion of admitted patients who had smoking status identified, a smoking counselor consulted, or nicotine replacement therapy (NRT) ordered during 4 months before and after the change. In 4 months after implementation, the order set was used with 76% of Medicine admissions, and a known smoking status was recorded for 81% of these patients. The intervention increased the proportion of admitted patients who were referred for smoking counseling (0.8 to 2.1%) and had NRT ordered (1.6 to 2.5%) (p < .0001 for both). Concomitantly, the hospital’s performance on the smoking cessation quality measure improved.
Conclusions
Adding a brief tobacco order set to an existing computerized order-entry system increased a hospital’s provision of evidence-based tobacco treatment and helped to improve its performance on a publicly reported quality measure. It provides a model for US hospitals seeking to improve their quality of care for inpatients.