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
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
- 否
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
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
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
Ellen Esposito
Assistant Professor-Faculty
Medical University of South Carolina
