PT  - JOURNAL ARTICLE
AU  - Ng, Kher
AU  - Read, Andrew
AU  - Alderman, Vanessa
TI  - Smoking cessation activity in respiratory outpatient clinics
AID  - 10.1183/13993003.congress-2021.PA3207
DP  - 2021 Sep 05
TA  - European Respiratory Journal
PG  - PA3207
VI  - 58
IP  - suppl 65
4099  - http://erj.ersjournals.com/content/58/suppl_65/PA3207.short
4100  - http://erj.ersjournals.com/content/58/suppl_65/PA3207.full
SO  - Eur Respir J2021 Sep 05; 58
AB  - Introduction: The NHS Long Term Plan 2019 aims to offer state-funded smoking cessation to all inpatients by 2023/24. There is a distinct lack of emphasis on outpatients.Aims: This quality improvement project aims to:1. Improve smoking status enquiry rate in new respiratory outpatients2. Improve the rate of offer of smoking cessation referralsMethod: The following data was collated from respiratory outpatient clinic letters:1. Rates of enquiries regarding smoking status2. Rates of provision of very brief advice regarding smoking cessation3. Completion of electronic ‘smoking status forms’ which results in an automatic electronic-referral to smoking cessation services.The improvement measures below were actioned consecutively after each cycle:1. Education at departmental meeting & email reminder2. Visual aids attached to computer screens3. Targeted reminder to incompliant physiciansThe 5th cycle was repeated without an improvement measure to assess sustainability.Results: The number of patients included per cycle ranged from 27-37.We demonstrated sustained improvement in both objectives (Figure 1). Measurements and Main Results: This project demonstrated a marked improvement in smoking cessation effort in our respiratory outpatient clinics. We have identified accessibility to the ‘smoking status e-form’ as a key barrier to further improve smoking cessation referral rates. Reformatting of the clinic letter dictation system to allow increased accessibility is currently underway.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3207.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.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).