Original ArticleImproving Lung Cancer Screening Rates Through an Evidence-Based Electronic Health Record Smoking HistoryRussell, Cynthia K. DNP, RN-BC; McNeill, Margaret PhD, RN, APRN-CNS, CCRN-K, TCRN, CPAN, NE-BC, NHDP-BC, FCNS, FAAN Author Information Nursing Professional Development, Frederick Health Hospital, Frederick, Maryland. Correspondence: Cynthia K. Russell, DNP, RN-BC, Nursing Professional Development, Frederick Health Hospital, 400 West Seventh St, Frederick, MD 21701 ([email protected]). We thank Dr Maurice A. Smith and Tammy Welch, P.A.C. of the Frederick Health Chest Disease Center for engaging nursing to create a solution supporting high-risk patient identification for LDCT. We also thank the CLINTEC nurses for their support. The authors declare no conflict of interest. Accepted for publication: January 18, 2022 Early Access: April 4, 2022 Journal of Nursing Care Quality: April 04, 2022 - Volume - Issue - 10.1097/NCQ.0000000000000623 doi: 10.1097/NCQ.0000000000000623 Buy PAP Metrics Abstract Background: Lung cancer is prevalent worldwide, with 2.1 million new cases and 1.8 million deaths in 2020. In the United States, an estimated 131 880 lung cancer deaths are expected to occur in 2021, with most detected in later stages. Smokers are 15 to 30 times more likely to develop or die from lung cancer. Local Problem: Our community residents were more likely to be diagnosed with lung cancer in later stages (62%) compared with 56% nationally, resulting in an increased community mortality rate. Intervention: Evidence-based changes in an electronic health record system supported identification and referral of high-risk patients for low-dose computer tomography to improve early lung cancer detection rates. Results: Early-stage lung cancer detection increased 24%. Conclusions: Interprofessional teams used technology to adopt evidence-based practice and improve health outcomes in their communities. © 2022 Wolters Kluwer Health, Inc. All rights reserved.