J Am Pharm Assoc (2003). 2024 Nov-Dec;64(6):102203. doi: 10.1016/j.japh.2024.102203. Epub 2024 Aug 5.
Smoking is the leading cause of preventable disease, disability, and death. Pharmacists can aid in smoking cessation through pharmacotherapy recommendations, patient counseling, and follow-up.
Describe a standardized transitions of care (TOC) pharmacist workflow for patients' tobacco cessation efforts at hospital discharge and to secondarily evaluate patient participation, impact on cessation outcomes, and pharmacist effort to provide the service.
TOC pharmacists provide medication optimization and education to patients admitted to and discharged from Norton Healthcare hospitals. Medication optimization for tobacco cessation occurs through a provider recommendation or by utilizing the Kentucky Board of Pharmacy-authorized protocol.
A standardized workflow was created for TOC pharmacists to identify patients who use tobacco, assess patients' current tobacco use and willingness to quit, select appropriate pharmacotherapy, document, and follow up after discharge.
A retrospective descriptive study was performed for adult patients assessed by TOC pharmacists for tobacco cessation between November 2021 and April 2022, with follow-up visits completed through December 2022.
The pharmacists assessed 357 patients and 252 (70.6%) stated they were interested in tobacco cessation. Of those interested, 117 patients (46.4%) indicated they were interested in receiving follow-up from TOC pharmacists and refills from a Norton pharmacy. Of the 117 patients interested in follow-up, 73 patients (62.4%) completed at least 1 follow-up visit with the TOC pharmacist. At the last completed follow-up visit, 26 patients (35.6%) reported complete tobacco cessation. Of the 47 patients who did not have complete cessation, they reported using 39% less tobacco on average compared with their initial assessment at hospital discharge. The mean time spent by TOC pharmacists using this workflow was 13.5 minutes per follow-up visit.
This project formalized a standardized and sustainable TOC pharmacist workflow that demonstrated a positive impact on tobacco cessation efforts for participating patients.
吸烟是可预防疾病、残疾和死亡的主要原因。药剂师可以通过药物治疗建议、患者咨询和随访来帮助戒烟。
描述一种标准化的过渡护理（TOC）药剂师工作流程，以帮助患者在出院时进行烟草戒断，并评估患者参与度、对戒烟结果的影响，以及药剂师提供服务的努力程度。
TOC 药剂师为诺顿医疗保健医院的住院和出院患者提供药物优化和教育。通过提供者的建议或使用肯塔基州药剂师委员会授权的方案来实现烟草戒断的药物优化。
为 TOC 药剂师创建了一个标准化的工作流程，以识别使用烟草的患者，评估患者当前的烟草使用情况和戒烟意愿，选择合适的药物治疗方法，记录并在出院后进行随访。
对 2021 年 11 月至 2022 年 4 月期间由 TOC 药剂师评估的 357 名成人患者进行回顾性描述性研究，随访完成于 2022 年 12 月。
药剂师评估了 357 名患者，其中 252 名（70.6%）表示有兴趣戒烟。在有兴趣的患者中，有 117 名（46.4%）表示有兴趣接受 TOC 药剂师的随访和诺顿药房的药物续方。在有兴趣接受随访的 117 名患者中，有 73 名（62.4%）至少完成了一次 TOC 药剂师的随访。在最后一次完成的随访中，有 26 名（35.6%）患者报告完全戒烟。在未完全戒烟的 47 名患者中，与出院时的初始评估相比，他们平均吸烟量减少了 39%。TOC 药剂师使用此工作流程的平均时间为每次随访 13.5 分钟。
该项目使 TOC 药剂师的标准化和可持续工作流程正式化，为参与的患者带来了积极的戒烟效果。
