false
OasisLMS
zh-CN,en,fr,de,ja,es
Catalog
35th AM (2025) - Poster Session
Utilizing EMR-Integrated Approach to Enhance Smoki ...
Utilizing EMR-Integrated Approach to Enhance Smoking Cessation Interventions in Inpatient Psychiatry
Back to course
Pdf Summary
This study from Case Western Reserve University/MetroHealth aimed to enhance smoking cessation interventions for patients admitted to inpatient psychiatry units by integrating prompts within the electronic medical record (EMR) system. Given that smoking prevalence in this population ranges from 53.6% to 91.4%, psychiatric hospitalization presents a key opportunity for intervention. On February 23, 2023, EMR links were implemented in history & physicals and discharge summaries to prompt providers to assess smoking status and consider cessation treatments, including varenicline, bupropion, nicotine patches, and nicotine gum.<br /><br />Data on prescriptions for smoking cessation therapies were collected for six months post-implementation and compared to data from the prior year. The analysis showed an increase in patients receiving any smoking cessation treatment from 35% pre-intervention to 41% post-intervention (p=0.05). Despite this improvement, the overall treatment rate remains low, indicating persistent barriers to cessation care in inpatient psychiatry. Notably, varenicline was not prescribed at all before or after the intervention, while bupropion, nicotine patches, and gum saw modest increases.<br /><br />The study highlights the potential of EMR-integrated prompts to improve prescribing rates of nicotine replacement therapies but also reveals ongoing reluctance or challenges in prescribing certain medications like varenicline. Future follow-up surveys are planned to explore provider hesitations and other factors limiting broader adoption of cessation treatments. Continuous monitoring of prescription patterns will assess the lasting impact of the EMR intervention.<br /><br />In summary, the integration of smoking cessation prompts into the EMR system modestly improved treatment rates in inpatient psychiatric settings but underscored the need to address additional barriers, particularly related to prescribing non-nicotine medications. Systemic changes combined with provider education may be required to optimize tobacco dependence treatment in this high-risk population.
Keywords
smoking cessation
electronic medical record
inpatient psychiatry
nicotine replacement therapy
varenicline
bupropion
smoking prevalence
prescription patterns
provider prompts
tobacco dependence treatment
×