Counseling Tobacco Smoke Exposure Reduction Measures in Pediatrics: A Quality Improvement Project.

ABSTRACT: With over 40% of children in the USA exposed to tobacco smoke, the AAP recommends tobacco smoke exposure (TSE) assessment during clinic visits. We aimed to increase the rates of TSE screening and provider counseling regarding TSE reduction using an evidence-based approach.

Methods

We conducted the project at a large pediatric pulmonology practice. Baseline caregiver surveys and medical record review of TSE documentation took place in July/August, 2019. From September 2019 to July 2021, PDSA cycles were conducted to increase TSE screening and reduce counseling.

Results

Before starting the project, 18% of smoking caregivers acknowledged smoking in the home and 41% in the car. While caregivers strongly desired to decrease TSE (median 9.4/10 on Likert scale), physician counseling

SUBMITTER: Ferguson K 

PROVIDER: S-EPMC9478329 | biostudies-literature | 2022 Sep-Oct

REPOSITORIES: biostudies-literature