title: Evidence-based approach to an inpatient tobacco cessation protocol.
abstract: Tobacco use contributes to USD53 to USD73 billion per year in healthcare expenditures and causes nearly 440,000 deaths per year. Given the strong cause-effect relationship between smoking and poor health outcomes, it is critical that smokers are identified early and advised about smoking cessation. Furthermore, the Joint Commission now mandates that tobacco cessation advice be given to patients admitted with heart failure, pneumonia, and acute myocardial infarction. As such, an interdisciplinary group at an urban academic medical center developed and implemented a tobacco cessation protocol with the goal of identifying and targeting inpatient smokers through evidence-based education and counseling. The protocol focused on admission assessment, education, and provision of standing orders for medication treatment for nicotine withdrawal and/or tobacco cessation therapy during the inpatient encounter and referral for outpatient counseling at discharge.
authors.affiliation: Salem Family Practice, 105 Vest Mill Circle, Winston Salem, NC 27103, USA. mginn@novanthealth.org
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Ginn
authors.forename: Geoff
authors.initials: G
authors.lastname: Cox
authors.forename: Janie
authors.initials: J
authors.lastname: Heath
mesh_terms: D000465:Algorithms; D002985:Clinical Protocols / Q000592:standards*; D003422:Critical Care; D003663:Decision Trees; D019317:Evidence-Based Medicine; D006333:Heart Failure / Q000451:nursing; D006801:Humans; D007297:Inpatients / Q000193:education / Q000523:psychology; D007591:Joint Commission on Accreditation of Healthcare Organizations; D009042:Motivation; D009203:Myocardial Infarction / Q000451:nursing; D009730:Nursing Assessment; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000458:organization & administration*; D011014:Pneumonia / Q000451:nursing; D016730:Program Development; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D012017:Referral and Consultation; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D000074606:Smoking Prevention; D012944:Social Support; D014481:United States / Q000453:epidemiology