Nicotine Replacement Therapy Prescribing and Lung Cancer Screening in Hospitalized Patients

Medical University of South Carolina (MUSC)

Status: Active, not recruiting

Conditions: Tobacco Use Disorder

Treatments: Other: EHR alert

Study type: Interventional

Funder types: Other

Identifiers

NCT07164404

Pro00146588

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 220 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Patients

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)

Exclusion Criteria:

• None

Resident Physicians:

Inclusion Criteria:

• Internal medicine resident physicians rotating on the hospitalist service at MUSC Health Charleston

Exclusion Criteria:

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

220 participants in 2 patient groups

EHR alert

Experimental group

Description:

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.

Treatment:

Other: EHR alert

Control

No Intervention group

Description:

Routine care, no access to the EHR embedded alert