跳至主要内容
临床试验/NCT07164404
NCT07164404进行中(未招募)不适用

Increasing Nicotine Replacement Therapy Prescribing and Lung Cancer Screening in Hospitalized Patients Using an Innovative Non-Interruptive Alert Within the Electronic Health Record Provider Note

Medical University of South Carolina2 个研究点 分布在 1 个国家目标入组 220 人开始时间: 2025年11月17日最近更新:
干预措施

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
220
试验地点
2
主要终点
Nicotine Replacement Therapy (NRT) prescribing rates during hospitalization

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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)

排除标准

  • Resident Physicians:
  • Inclusion Criteria:
  • Internal medicine resident physicians rotating on the hospitalist service at MUSC Health Charleston
  • Exclusion Criteria:

研究组 & 干预措施

EHR alert

Experimental

Group will have access to the 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.

干预措施: EHR alert (Other)

Control

No Intervention

Routine care, no access to the EHR embedded alert

结局指标

主要结局

Nicotine Replacement Therapy (NRT) prescribing rates during hospitalization

时间窗: During hospitalization, assessed from admission to discharge (average of 3-7 days)

Nicotine Replacement Therapy (NRT) prescribing rates at discharge

时间窗: During hospitalization, assessed from admission to discharge (average of 3-7 days)

Rate of referral to outpatient tobacco cessation clinic

时间窗: During hospitalization, assessed from admission to discharge (average of 3-7 days)

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor
主要研究者

Ellen Esposito

Assistant Professor-Faculty

Medical University of South Carolina

研究点 (2)

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