ArticleAmerican journal of preventive medicine2018
An Electronic Health Record-Based Strategy to Address Child Tobacco Smoke Exposure.
Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02489708 (Pediatric Emergency Department Decision Support System to Reduce Secondhand Smoke), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pediatric Emergency Department Decision Support System to Reduce Secondhand Smoke
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Automation in nursing decision support systems: A systematic review of effects on decision making, care delivery, and patient outcomes.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Trial
- A Parental Smoking Cessation Intervention in the Pediatric Emergency Setting: A Randomized Trial.International journal of environmental research and public health · 2020Trial
- Parent eReferral to Tobacco Quitline: A Pragmatic Randomized Trial in Pediatric Primary Care.American journal of preventive medicine · 2019Trial
- A systematic review of clinicians' acceptance and use of clinical decision support systems over time.NPJ digital medicine · 2025Article
- Tobacco Treatment Knowledge and Practices Among US Psychiatrists.Community mental health journal · 2023Article
- Clinical decision support for tobacco screening and counseling parents of pediatric patients: A qualitative analysis of pediatric emergency department and urgent care professionals.Drug and alcohol dependence reports · 2022Article
- Digital Health Interventions to Enhance Prevention in Primary Care: Scoping Review.JMIR medical informatics · 2022Article
- Barriers to implementation of pediatric emergency department interventions for parental tobacco use and dependence: a qualitative study using the theoretical domains framework.Implementation science communications · 2022Article
- Comparison of Levels of Three Tobacco Smoke Exposure Biomarkers in Children of Smokers.International journal of environmental research and public health · 2021Article
- Evaluation of tobacco screening and counseling in a large, midwestern pediatric emergency department.Tobacco prevention & cessation · 2021Article
- Utilization of a Clinical Decision Support Tool to Reduce Child Tobacco Smoke Exposure in the Urgent Care Setting.Pediatric emergency care · 2020Article
- Clinical Decision Support and Implications for the Clinician Burnout Crisis.Yearbook of medical informatics · 2020Review
- Contribution of thirdhand smoke to overall tobacco smoke exposure in pediatric patients: study protocol.BMC public health · 2019Article
- Adolescent Tobacco Smoke Exposure, Respiratory Symptoms, and Emergency Department Use.Pediatrics · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
introductionA high proportion of children presenting to pediatric urgent cares are exposed to tobacco smoke. An electronic health record-based clinical decision support system for nurses to facilitate guideline-based tobacco smoke exposure screening and counseling for caregivers who smoke was designed and evaluated.
designA mixed-methods, 3-month, prospective study that began in November 2015, data were analyzed in June 2016. SETTING/
participantsFive urgent cares that were part of a large children's hospital in Cincinnati, OH. Participants were urgent care nurses.
interventionThe clinical decision support system prompted nurses to Ask, Advise, Assess, and Assist caregivers to quit smoking. Monthly feedback reports were also provided.
main outcome measureClinical decision support system use rates, nurses' attitudes towards tobacco smoke exposure intervention, and percentage of children screened and caregivers counseled.
resultsAll nurses used the clinical decision support system. Compared with Month 1, nurses were twice as likely to advise and assess during Months 2 and 3. There was significant improvement in nurses feeling prepared to assist caregivers in quitting. Nurses reported that feedback reports motivated them to use the clinical decision support system, and that it was easy to use. Almost 65% of children were screened for tobacco smoke exposure; 19.5% screened positive. Of caregivers identified as smokers, 26% were advised to quit and 29% were assessed for readiness to quit. Of those assessed, 67% were interested in quitting, and of those, 100% were assisted.
conclusionsA clinical decision support system increased rates of tobacco smoke exposure screening and intervention in pediatric urgent cares. Rates might further improve by incorporating all components of the clinical decision support system into the electronic health record.
trial registrationThis study is registered at www.clinicaltrials.gov NCT02489708.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.