Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support
Introduction Preoperative visits are an exceptional opportunity to encourage smoking cessation, as studies demonstrate the experience of scheduling elective surgery produces an actionable incentive to quit. However, studies suggest surgeons do not regularly assess smoking behavior or offer cessation...
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doaj-c0ae86b591e04ddc8af6ceddf75221942021-03-10T08:40:31ZengEuropean PublishingTobacco Prevention and Cessation2459-30872021-02-017February1410.18332/tpc/131823131823Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision supportConnor Stonesifer0Salvatore Crusco1Sritha Rajupet2Vagelos College of Physicians and Surgeons, Columbia University, New York, United StatesIcahn School of Medicine at Mount Sinai, New York, United StatesVagelos College of Physicians and Surgeons, Columbia University, New York, United StatesIntroduction Preoperative visits are an exceptional opportunity to encourage smoking cessation, as studies demonstrate the experience of scheduling elective surgery produces an actionable incentive to quit. However, studies suggest surgeons do not regularly assess smoking behavior or offer cessation therapies. Clinical decision support (CDS) is a system in which providers are presented with clinically integrated tools to enhance decision-making. Methods A CDS tool was designed to facilitate treatment referrals for smoking cessation services among patients seeking elective surgery. Two clinics were selected: the plastic and vascular surgeries. The study objectives were to assess the utilization rate and effectiveness of this system. Results No smoking cessation referrals had been submitted by the plastic surgery or vascular surgery clinics in the year before CDS tool implementation. Providers at the plastic surgery clinic utilized the CDS tool in 95.0% (191 of 201) eligible patient encounters. Of these patients, 16.3% were identified as active smokers, and 16.1% of these smokers accepted treatment referrals. Providers at the vascular surgery clinic utilized the CDS tool in 50.3% (98 of 195) eligible patient encounters. Of these patients, 10.2% were identified as active smokers, and 30.0% of these smokers accepted treatment referrals. Conclusions The CDS tool improved the incidence of smoking cessation referrals in two surgical clinics from pretest baselines and achieved satisfactory utilization rates. This report demonstrates the feasibility of CDS tools to actualize the preoperative visit as an opportunity to promote smoking cessation.http://www.tobaccopreventioncessation.com/Improving-smoking-cessation-referrals-among-elective-surgery-clinics-through-electronic,131823,0,2.htmlsurgeryfeasibility studyclinical decision supportsmoking cessationtobacco-related disparitiestobacco-use cessation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Connor Stonesifer Salvatore Crusco Sritha Rajupet |
spellingShingle |
Connor Stonesifer Salvatore Crusco Sritha Rajupet Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support Tobacco Prevention and Cessation surgery feasibility study clinical decision support smoking cessation tobacco-related disparities tobacco-use cessation |
author_facet |
Connor Stonesifer Salvatore Crusco Sritha Rajupet |
author_sort |
Connor Stonesifer |
title |
Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support |
title_short |
Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support |
title_full |
Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support |
title_fullStr |
Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support |
title_full_unstemmed |
Improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support |
title_sort |
improving smoking cessation referrals among elective surgery clinics through electronic clinical decision support |
publisher |
European Publishing |
series |
Tobacco Prevention and Cessation |
issn |
2459-3087 |
publishDate |
2021-02-01 |
description |
Introduction
Preoperative visits are an exceptional opportunity to encourage smoking cessation, as studies demonstrate the experience of scheduling elective surgery produces an actionable incentive to quit. However, studies suggest surgeons do not regularly assess smoking behavior or offer cessation therapies. Clinical decision support (CDS) is a system in which providers are presented with clinically integrated tools to enhance decision-making.
Methods
A CDS tool was designed to facilitate treatment referrals for smoking cessation services among patients seeking elective surgery. Two clinics were selected: the plastic and vascular surgeries. The study objectives were to assess the utilization rate and effectiveness of this system.
Results
No smoking cessation referrals had been submitted by the plastic surgery or vascular surgery clinics in the year before CDS tool implementation. Providers at the plastic surgery clinic utilized the CDS tool in 95.0% (191 of 201) eligible patient encounters. Of these patients, 16.3% were identified as active smokers, and 16.1% of these smokers accepted treatment referrals. Providers at the vascular surgery clinic utilized the CDS tool in 50.3% (98 of 195) eligible patient encounters. Of these patients, 10.2% were identified as active smokers, and 30.0%
of these smokers accepted treatment referrals.
Conclusions
The CDS tool improved the incidence of smoking cessation referrals in two surgical clinics from pretest baselines and achieved satisfactory utilization rates. This report demonstrates the feasibility of CDS tools to actualize the preoperative visit as an opportunity to promote smoking cessation. |
topic |
surgery feasibility study clinical decision support smoking cessation tobacco-related disparities tobacco-use cessation |
url |
http://www.tobaccopreventioncessation.com/Improving-smoking-cessation-referrals-among-elective-surgery-clinics-through-electronic,131823,0,2.html |
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