Literature DB >> 1530076

The impact of antipsychotic drug regulations on psychotropic prescribing practices in nursing homes.

B W Rovner1, B A Edelman, M P Cox, Y Shmuely.   

Abstract

The authors prospectively studied psychotropic prescribing practices and quality assurance data in 17 nursing homes in the Baltimore area to assess the impact of federal antipsychotic drug regulations. There was a 36% reduction in prescriptions for neuroleptics over 6 months, no increase in prescriptions for sedative/hypnotics, and a small increase in prescriptions for antidepressants. The authors conclude that psychotropic drug prescribing practices and patient outcomes remain important areas of study in nursing homes.

Entities:  

Keywords:  Empirical Approach; Omnibus Budget Reconciliation Act (OBRA) 1987; Professional Patient Relationship

Mesh:

Substances:

Year:  1992        PMID: 1530076     DOI: 10.1176/ajp.149.10.1390

Source DB:  PubMed          Journal:  Am J Psychiatry        ISSN: 0002-953X            Impact factor:   18.112


  18 in total

1.  Impact of legislation on nursing home care in the United States: lessons for the United Kingdom.

Authors:  C M Hughes; K L Lapane; V Mor
Journal:  BMJ       Date:  1999-10-16

2.  Use of physical restraints and psychotropic medications in Alzheimer special care units in nursing homes.

Authors:  C D Phillips; K M Spry; P D Sloane; C Hawes
Journal:  Am J Public Health       Date:  2000-01       Impact factor: 9.308

Review 3.  The drive for quality care in US nursing homes in the era of the prospective payment system.

Authors:  Carmel M Hughes; Kate L Lapane
Journal:  Drugs Aging       Date:  2002       Impact factor: 3.923

4.  Regulation and mindful resident care in nursing homes.

Authors:  Cathleen S Colón-Emeric; Donde Plowman; Donald Bailey; Kirsten Corazzini; Queen Utley-Smith; Natalie Ammarell; Mark Toles; Ruth Anderson
Journal:  Qual Health Res       Date:  2010-05-17

Review 5.  Administrative initiatives for reducing inappropriate prescribing of psychotropic drugs in nursing homes: how successful have they been?

Authors:  Carmel M Hughes; Kate L Lapane
Journal:  Drugs Aging       Date:  2005       Impact factor: 3.923

6.  Drug use in Swedish nursing homes.

Authors:  C B Claesson; I K Schmidt
Journal:  Clin Drug Investig       Date:  1998       Impact factor: 2.859

Review 7.  Lessons from geriatric psychiatry in the long-term care setting.

Authors:  J E Streim; D Oslin; I R Katz; P A Parmelee
Journal:  Psychiatr Q       Date:  1997

Review 8.  Pharmacy interventions on prescribing in nursing homes: from evidence to practice.

Authors:  Carmel M Hughes; Kate L Lapane
Journal:  Ther Adv Drug Saf       Date:  2011-06

9.  Antipsychotic use among nursing home residents.

Authors:  Becky A Briesacher; Jennifer Tjia; Terry Field; Daniel Peterson; Jerry H Gurwitz
Journal:  JAMA       Date:  2013-02-06       Impact factor: 56.272

Review 10.  Pharmacological treatment of the psychosis of Alzheimer's disease: what is the best approach?

Authors:  Subramoniam Madhusoodanan; Payal Shah; Ronald Brenner; Sanjay Gupta
Journal:  CNS Drugs       Date:  2007       Impact factor: 5.749

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