["Cigarette smoking causes about one of every five deaths in the U.S. each year. In 2013 the prevalence of smoking in our institution's trauma population was 26.7\xa0%, well above the national adult average of 18.1\xa0% according to the CDC website. As a quality improvement project we implemented a multimodality smoking cessation program in a high-risk trauma population.", 'All smokers with independent mental capacity admitted to our level I trauma center from 6/1/2014 until 3/31/2015 were counseled by a physician on the benefits of smoking cessation. Those who wished to quit smoking were given further counseling by a pulmonary rehabilitation nurse and offered nicotine replacement therapy (e.g. nicotine patch). A planned 30\xa0day or later follow-up was performed to ascertain the primary endpoint of the total number of patients who quit smoking, with a secondary endpoint of reduction in the frequency of smoking, defined as at least a half pack per day reduction from their pre-intervention state.', 'During the 9\xa0month study period, 1066 trauma patients were admitted with 241 (22.6\xa0%) identified as smokers. A total of 31 patients with a mean Injury Severity Score (ISS) of 14.2 (range 1-38), mean age of 47.6 (21-71) and mean years of smoking of 27.1 (2-55), wished to stop smoking. Seven of the 31 patients, (22.5\xa0%, 95\xa0% confidence interval [CI] of 10-41\xa0%) achieved self-reported smoking cessation at or beyond 30\xa0days post discharge. An additional eight patients (25.8\xa0%, 95\xa0% CI 12-45\xa0%) reported significant reduction in smoking.'] Does implementation of a quality improvement project on smoking cessation reduce smoking in a high risk trauma patient population?