RT Journal Article
SR Electronic
T1 A Quality Improvement Project to Increase Smoking Cessation in a Hospital Acute Cardio-Respiratory Admissions Unit
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 3068
DO 10.1183/13993003.congress-2020.3068
VO 56
IS suppl 64
A1 Daniela Nicoara
A1 Claire Chebbout
A1 Mike Jones
A1 Carl Guest
A1 Nicola Baker
A1 Caroline Anderson
A1 Victoria Sarb
A1 Samantha Halst
A1 Lisa Clinch
A1 Rachael Evans
YR 2020
UL http://erj.ersjournals.com/content/56/suppl_64/3068.abstract
AB We aimed to increase smoking cessation referrals by 30% within three months, to improve identification of patients’ smoking status, offer patients very brief advice (VBA) and increase the prescription of nicotine replacement therapy (NRT).Our multidisciplinary team (MDT) used ‘plan-do-see-act’ methodology to conduct a quality improvement project to increase referrals to smoking cessation services in a busy acute cardio-respiratory admission unit (CDU). We collected baseline and fortnightly data for 17 weeks documenting smoking status (%), VBA (%), NRT prescription (%) and referrals to smoking cessation services (%). The interventions were ‘smoking cessation’ champions, MDT education, increased availability of NRT on CDU with an ‘opt-out’ approach and a documentation ‘sticker’ for the medical records. We compared NRT prescription with the continuous Royal College of Physicians national COPD audit data.278 medical notes were reviewed between 2/11/2018 to 16/03/2019. Referrals to smoking cessation services from CDU increased from 20% to 50% after the interventions were implemented. Documentation of smoking status ranged from 80% to 100%. VBA and NRT prescription increased from an average of 15% to a peak of 100% but subsequently decreased to 25 and 23%, respectively. Our COPD national audit results show that for patients with COPD, NRT prescription increased during the intervention period and was higher than the national average.We exceeded our goal by at least doubling the number of smoking cessation referrals with minimal resources by forming a multi-disciplinary team of existing healthcare professionals to prioritise ‘smoking cessation’ on a busy acute unit.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3068.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).