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Clinical impacts of an integrated electronic health record-based smoking cessation intervention during hospitalisation

Objective To assess the effects of an electronic health record (EHR) intervention that prompts the clinician to prescribe nicotine replacement therapy (NRT) at hospital admission and discharge in a large integrated health system. Design Retrospective cohort study using interrupted time series (ITS) analysis leveraging EHR data generated before and after implementation of the 2015 EHR-based intervention. Setting Kaiser Permanente Northern California, a large integrated health system with 4.2 million members. Participants Current smokers aged ≥18 hospitalised for any reason. Exposure EHR-based clinical decision supports that prompted the clinician to order NRT on hospital admission (implemented February 2015) and discharge (implemented September 2015).

BMJ     Dec 06, 2023