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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer-Verlag

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10.1016/0026-0657(95)92284-9

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1525-1497

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A Computerized Aid to Support Smoking Cessation Tr

Authors: Kate E Koplan Susan Regan Robert C Goldszer Louise I Schneider Nancy A Rigotti
Publish Date: 2008/05/09
Volume: 23, Issue: 8, Pages: 1214-1217
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Abstract

Hospitalbased 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 qualityofcare measure for US hospitalsProportion 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 08 to 21 and had NRT ordered 16 to 25 p  0001 for both Concomitantly the hospital’s performance on the smoking cessation quality measure improvedAdding a brief tobacco order set to an existing computerized orderentry system increased a hospital’s provision of evidencebased 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 inpatientsThere were no additional contributors to this manuscript Sources of funding consist of the following Brigham and Women’s Hospital Department of Medicine Medical Residency Office NIH/NHLBI MidCareer Award in Patientoriented Research to Dr Rigotti K24 HL04440 and Partners HealthCare IncKate Koplan Susan Regan and Louise Schneider have no conflicts of interest Robert Goldszer has served as a consultant with Leader Health Nancy Rigotti has served as a consultant with Pfizer and SanofiAventis and has received grants from Pfizer SanofiAventis and Nabi Biopharmaceuticals

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