Tobacco Use Disorder
Conditions
Brief summary
Investigators are evaluating an EHR-based, non-interruptive alert to increase NRT prescribing in the hospital and at discharge for hospitalized patients. Investigators will investigate two randomized groups of resident physicians to evaluate their prescribing behaviors when the tool is introduced.
Detailed description
Efforts to decrease cancer-related morbidity and mortality include increasing smoking cessation, however smoking remains prevalent. Classically, alerts within the electronic health record (EHR) are implemented to address gaps in care, yet studies suggest typical EHR alerts are often overridden and ignored. In this study, the investigators aim to decrease the incidence and burden of disease by including hospitalists as part of the multidisciplinary care team by implementing and evaluating a novel non-interruptive EHR alert embedded within a provider note as a tool to increase prescription of nicotine replacement therapy to patients who smoke upon admission to and discharge from the hospital. Investigators will investigate two randomized groups of resident physicians to evaluate their prescribing behaviors when the tool is introduced.
Interventions
OTHEREHR alert
EHR embedded alert into the admission note template, where it automatically inserts smoking history, prompts NRT prescribing in the hospital, and offers referral to outpatient follow up.
Sponsors
Medical University of South Carolina
South Carolina Clinical & Translational Research Institute (SCTR)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients Inclusion Criteria: * Hospitalized patients admitted to a General Medicine Service at MUSC Charleston * Identified as actively smoking tobacco via nursing admission screening * Admitted by a resident physician participating in the study (as indicated by the H\&P note)
Exclusion criteria
• None Resident Physicians: Inclusion Criteria: • Internal medicine resident physicians rotating on the hospitalist service at MUSC Health Charleston
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nicotine Replacement Therapy (NRT) prescribing rates during hospitalization | During hospitalization, assessed from admission to discharge (average of 3-7 days) |
| Nicotine Replacement Therapy (NRT) prescribing rates at discharge | During hospitalization, assessed from admission to discharge (average of 3-7 days) |
| Rate of referral to outpatient tobacco cessation clinic | During hospitalization, assessed from admission to discharge (average of 3-7 days) |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATOREllen Esposito, MD
Medical University of South Carolina
Outcome results
None listed