Smoking bans in US hospitals. Results of a national survey

JAMA. 1995 Aug 9;274(6):488-91.


Objective: To examine compliance and characteristics of hospitals with tobacco control standards enacted by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO).

Design and setting: On-site national survey of hospitals as part of routine JCAHO accreditation visits.

Participants: A total of 3327 US hospitals received site visits in 1992 and 1993 and were matched with American Hospital Association Annual Survey of Hospitals data.

Main outcome measures: Compliance or noncompliance with tobacco control standards; location in a tobacco-producing state; and organizational characteristics, including provision of psychiatric/alcohol-chemical dependency services.

Results: Two years after implementation, 95.6% of hospitals met the new JCAHO smoking ban standard; 90.9% of hospitals were in compliance with a second smoking standard requiring development and use of medical criteria for physician-ordered exceptions to the ban. Hospitals in tobacco-producing states had higher-than-average rates of compliance when compared with hospitals in other states. Hospitals providing psychiatric and/or substance abuse services had lower-than-average rates of compliance.

Conclusion: This first industry-wide smoking ban has been successful. However, hospitals should consider evaluating the use of medical exceptions to this policy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accreditation / standards*
  • Cross-Sectional Studies
  • Data Collection
  • Hospitals / standards
  • Hospitals / statistics & numerical data*
  • Humans
  • Joint Commission on Accreditation of Healthcare Organizations*
  • Logistic Models
  • Smoking Prevention*
  • United States