The Development and Implementation of a Multimodal Preoperative-specific Smoking Cessation Project

Area of Science:

• Medical Interventions
• Quality Improvement
• Public Health

Background:

• Preoperative smoking is associated with increased surgical risks and complications.
• Effective smoking cessation interventions are crucial for improving surgical outcomes.
• Current preoperative smoking cessation support may be suboptimal.

Purpose of the Study:

• To enhance patient smoking abstinence rates before surgery.
• To increase the uptake of smoking cessation medication prescriptions and counseling referrals.
• To evaluate a multimodal, preoperative-specific smoking cessation intervention.

Main Methods:

• A pre- and post-intervention quality improvement pilot study was conducted.
• A multimodal intervention included clinician training, patient outreach, and workflow optimization.
• Data were analyzed using descriptive statistics, t-tests, and chi-squared tests.

Main Results:

• Nicotine replacement therapy prescriptions increased from 2% to 40% (P < .001).
• Wellness Coach referrals rose from 10% to 30% (P < .001).
• Six percent of patients receiving intervention letters quit smoking before surgery.

Conclusions:

• A multimodal, preoperative smoking cessation project effectively increased intervention uptake by clinicians.
• The intervention demonstrated a positive impact on patient smoking abstinence rates prior to surgery.
• The project achieved high satisfaction levels among clinicians and medical assistants.