Are we failing to document adequate smoking histories? A brief review 1999–2009

References

• U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004 [Last Accessed 2009 Nov 13]
   Google Scholar
• Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 1997–2001. Morbidity and Mortality Weekly Report [serial online]. 2002;51:300-3 [Last Accessed 2009 Nov 13]
   Google Scholar
• Centers for Disease Control and Prevention. Health United States, 2003, with Chartbook on Trends in the Health of Americans. (PDF–225 KB) Hyattsville, MD: CDC, National Center for Health Statistics, 2003 [Last Accessed 2009 Nov 13]
   Google Scholar
• McGinnis J, Foege WH. Actual causes of death in the United States. JAMA 1993;270:2207-12
   PubMed Web of Science ®Google Scholar
• Peto R, Lopez AD. The future worldwide health effects of current smoking patterns. In: Boyle P, Gray N, Henningfield J. et al., eds. Tobacco: Science, Policy and Public Health. Oxford: Oxford University Press, 2004:281-6
   Google Scholar
• van Berkel TF, Boersma H, De Barquert D, et al. Registration and management of smoking behaviour in patients with coronary heart disease. Eur Heart J 1999;20:1630-7
   PubMed Web of Science ®Google Scholar
• Cox JL, Zitner D, Courtney KD, et al. Undocumented patient information: an impediment to quality of care. Am J Med 2003;114:211-16
   PubMed Web of Science ®Google Scholar
• Gravely-Witte S, Stewart DE, Suskin N, et al. Cardiologists’ charting varied by risk factor, and was often discordant with patient report. J Clin Epidemiol 2008;61:1073-9
   PubMed Web of Science ®Google Scholar
• Selak V, Wells S, Whittaker R, et al. Smoking status recording in GP electronic records: the unrealized potential. Inform Prim Care 2006;14:235-45
   PubMedGoogle Scholar
• Rafter N, Wells S, Stewart A, et al. Gaps in primary care documentation of cardiovascular risk factors. NZ Med J 2008;121:24-33
   PubMedGoogle Scholar
• Expert Panel Report 3. Guidelines for the Diagnosis and Management of Asthma. National Institutes of Health. Bethesda, MD, 2007. NIH Publication No. 07-4051
   Google Scholar
• Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2008 http://www.ginasthma.org
   Google Scholar
• Tinkelman DG, Price DB, Nordyke RJ, et al. Misdiagnosis of COPD and asthma in primary care patients 40 years of age and over. J Asthma 2006;43:75-80
   PubMed Web of Science ®Google Scholar
• Price DB, Tinkelman DG, Nordyke RJ, et al. Scoring system and clinical application of COPD diagnostic questionnaires. Chest 2006;129:1531-9
   PubMed Web of Science ®Google Scholar
• Global Initiative for Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of COPD, 2008. www.goldcopd.org
   Google Scholar
• Arnold LB, Usery JB, Finch CK, et al. Inadequate documentation of asthma management in hospitalized adult patients. South Med J 2009;102:510-14
   PubMed Web of Science ®Google Scholar
• Wallace JL, Arnold LB, Usery JB, et al. Inadequate documentation of smoking history in hospitalized patients with asthma and chronic obstructive pulmonary disease (ICD Code 493.2). Chest 2009;136: Abstract 414
   Google Scholar
• Kwok R, Dinh M, Dinh D, et al. Improving adherence to asthma clinical guidelines and discharge documentation from emergency departments: Implementation of a dynamic and integrated electronic decision support system. Emerg Med Australas 2009;21:31-7
   PubMed Web of Science ®Google Scholar
• Namen AM, Wymer A, Case D, et al. Performance of sleep histories in an ambulatory medicine clinic. Impact of simple chart reminders. Chest 1999;116:1558-63
   PubMed Web of Science ®Google Scholar
• Soto CM, Kleinman KP, Simon SR. Quality and correlates of medical record documentation in the ambulatory care setting. BMC Health Serv Res 2002;2:22-8
   PubMed Web of Science ®Google Scholar
• Dubey V, Mathew R, Iglar K, et al. Improving preventive service delivery at adult complete health check-ups: the preventive health evidence-based recommendation form (PERFORM) cluster randomized controlled trial. BMC Fam Pract 2006;7:44-55
   PubMedGoogle Scholar
• Namen AM, Landry SH, Case D, et al. Sleep histories are seldom documented on a general medicine service. South Med J 2001;94:874-9
   PubMed Web of Science ®Google Scholar
• Yusuff KB, Tayo F. Does a physician’s specialty influence the recording of medication history in patients’ case notes?. Br J Clin Pharmacol 2008;66:308-12
   PubMed Web of Science ®Google Scholar
• van Amstel LL, Lafleur DL, Blake K. Raising our HEADSS: adolescent psychosocial documentation in the emergency department. Acad Emerg Med 2004;11:648-55
   PubMed Web of Science ®Google Scholar
• Wright J, Strang JR. Reducing the risk after coronary artery bypass surgery: documentation of risk factors and communication between hospital and general practice. Public Health 1997;111:157-60
   PubMed Web of Science ®Google Scholar
• Liesenfeld B, Heekeren H, Schade G, et al. Quality of documentation in medical reports of diabetic patients. Int J Qual Health Care 1996;8:537-42
   PubMed Web of Science ®Google Scholar
• Hull AL, Kleinhenz ME. Smoking assessment and cessation skills in the inpatient medicine clerkship. Teach Learn Med 1990;2:157-60
   Google Scholar