Chart reminders increase referrals for inpatient smoking cessation intervention
A M McDaniel1, J L Kristeller, D M Hudson
1Department of Environments for Health, Indiana University School of Nursing, USA.
Summary
A chart reminder system significantly increased patient referrals to a hospital smoking cessation program compared to posted memos. This simple intervention is key for improving smoking cessation support in hospitals.
Area of Science:
- Health Services Research
- Public Health Interventions
- Clinical Nursing
Background:
- Hospitalized patients who smoke require effective interventions for smoking cessation.
- Traditional methods like posted memos have shown limited success in prompting healthcare staff referrals.
- Integrating patient support into routine clinical workflows is crucial for program uptake.
Purpose of the Study:
- To evaluate the effectiveness of a chart reminder system in increasing referrals of inpatients to a smoking cessation program.
- To compare the efficacy of chart reminders versus posted memos for prompting smoking cessation referrals.
Main Methods:
- An A1-B-A2 reversal design was employed over three 4-week periods.
- Condition A1: Posted memos reminding staff to refer smokers.
- Condition B: Chart reminders placed in patient charts.
- Condition A2: Reinstatement of posted memos.
Main Results:
- The chart reminder system (Condition B) resulted in a referral rate of 34.6%, significantly higher than the posted memo (Condition A1: 3.4%).
- Referral rates dropped significantly when chart reminders were removed and memos reinstated (Condition A2: 2.1%).
- Statistical analysis confirmed the significant impact of chart reminders on referral rates (p < 0.01).
Conclusions:
- Chart reminder systems are a highly effective strategy for increasing smoking cessation intervention referrals in acute care settings.
- This intervention can be a vital component of comprehensive hospital-based smoking cessation programs.
- Implementing chart reminders offers a practical and impactful method to enhance patient smoking cessation support.
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