Using the electronic health record to connect primary care patients to evidence-based telephonic tobacco quitline services: a closed-loop demonstration project
Using the electronic health record to connect primary care patients to evidence-based telephonic tobacco quitline services: a closed-loop demonstration project
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DOI：
10.1007/s13142-014-0259-y
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发表时间：
2014-09-01
影响因子：
3.6
通讯作者：
Fiore, Michael C.
中科院分区：
文献类型：
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作者：
Adsit, Robert T.;Fox, Bradley M.;Fiore, Michael C.
很少有吸烟者在保健访问期间接受循证烟草治疗。电子健康记录（EHRs）提供了一个机会，有效地识别和推荐吸烟者到国家戒烟热线。本案例研究的目的是开发和评估一个安全的闭环电子病历转诊系统，将访问医疗保健诊所的患者与国家烟草戒烟线联系起来。区域卫生系统、电子病历供应商、戒烟电话戒烟热线供应商和大学研究中心合作修改卫生系统的电子病历，以创建转诊系统。修改包括以下内容：诊所工作流程调整、EHR提示以及将治疗交付信息从戒烟热线返回到患者的EHR。通过转诊转诊到戒烟热线的成年烟草使用者比例明显高于使用以前的纸质传真转诊（14%对0.3%）。转诊系统增加了烟草使用者接受戒烟治疗的转诊。这个案例研究表明了一个安全的、闭环的基于ehr的转诊系统的可行性和有效性。
Few smokers receive evidence-based tobacco treatment during healthcare visits. Electronic health records (EHRs) present an opportunity to efficiently identify and refer smokers to state tobacco quitlines. The purpose of this case study is to develop and evaluate a secure, closed-loop EHR referral system linking patients visiting healthcare clinics with a state tobacco quitline. A regional health system, EHR vendor, tobacco cessation telephone quitline vendor, and university research center collaborated to modify a health system's EHR to create an eReferral system. Modifications included the following: clinic workflow adjustments, EHR prompts, and return of treatment delivery information from the quitline to the patient's EHR. A markedly higher percentage of adult tobacco users were referred to the quitline using eReferral than using the previous paper fax referral (14 vs. 0.3 %). The eReferral system increased the referral of tobacco users to quitline treatment. This case study suggests the feasibility and effectiveness of a secure, closed-loop EHR-based eReferral system.