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A. Gruneir, K. Lapane (2008)
It is time to assess the role of organizational culture in nursing home prescribing patterns.Archives of internal medicine, 168 2
R. Liperoti, V. Mor, K. Lapane, C. Pedone, G. Gambassi, R. Bernabei (2003)
The use of atypical antipsychotics in nursing homes.The Journal of clinical psychiatry, 64 9
H. Brabandt (2008)
Are thrombolytic drugs not evidence-based medications?JAMA Internal Medicine, 168
J. Doshi, T. Shaffer, B. Briesacher (2005)
National Estimates of Medication Use in Nursing Homes: Findings from the 1997 Medicare Current Beneficiary Survey and the 1996 Medical Expenditure SurveyJournal of the American Geriatrics Society, 53
Denys Lau, J. Kasper, D. Potter, A. Lyles (2004)
Potentially inappropriate medication prescriptions among elderly nursing home residents: their scope and associated resident and facility characteristics.Health services research, 39 5
LS Schneider, PN Tariot, KS Dagerman (2006)
Effectiveness of atypical antipsychotic drugs in patients with Alzheimer's disease., 355
C. Hawes, J. Morris, C. Phillips, Vincent Mor, B. Fries, S. Nonemaker (1995)
Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS).The Gerontologist, 35 2
Average and Median Number of Patients Per Facility and ADL Dependence.
P. Katz, J. Karuza, O. Intrator, J. Zinn, V. Mor, T. Caprio, A. Caprio, Jason Dauenhauer, Julie Lima (2009)
Medical staff organization in nursing homes: scale development and validation.Journal of the American Medical Directors Association, 10 7
S. Crystal, M. Olfson, Cecilia Huang, H. Pincus, T. Gerhard (2009)
Broadened use of atypical antipsychotics: safety, effectiveness, and policy challenges.Health affairs, 28 5
E. Keeler, R. Kane, D. Solomon (1981)
Short- and long-term residents of nursing homes.Medical care, 19 3
B. Briesacher, S. Soumerai, T. Field, H. Fouayzi, J. Gurwitz (2009)
Nursing Home Residents and Enrollment in Medicare Part DJournal of the American Geriatrics Society, 57
S. Oliveria, R. Liperoti, G. L’Italien, K. Pugner, A. Safferman, W. Carson, K. Lapane (2006)
Adverse events among nursing home residents with Alzheimer's disease and psychosisPharmacoepidemiology and Drug Safety, 15
S. Mitchell, J. Teno, Jason Roy, Glen Kabumoto, V. Mor (2003)
Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment.JAMA, 290 1
Lon Schneider, Pierre Tariot, K. Dagerman, S. Davis, John Hsiao, M. Ismail, Barry Lebowitz, Constantine Lyketsos, J. Ryan, T. Stroup, yy, D. Sultzer, zz, Daniel Weintraub, xx, Jeffrey Lieberman, kk (2006)
The n e w e n g l a n d j o u r n a l of m e d i c i n e Effectiveness of Atypical Antipsychotic Drugs in Patients with Alzheimer’s Disease
Death With Antipsychotics in Elderly.
L. Schneider, K. Dagerman, Philip Insel (2005)
Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials.JAMA, 294 15
J. Hirdes, D. Frijters, G. Teare (2003)
The MDS‐CHESS Scale: A New Measure to Predict Mortality in Institutionalized Older PeopleJournal of the American Geriatrics Society, 51
(2007)
Nursing homes struggle to kick drug habit
P. Rochon, T. Stukel, S. Bronskill, T. Gomes, K. Sykora, W. Wodchis, M. Hillmer, A. Kopp, J. Gurwitz, G. Anderson (2007)
Variation in nursing home antipsychotic prescribing rates.Archives of internal medicine, 167 7
R. Liperoti, G. Gambassi, K. Lapane (2005)
Conventional and Atypical Antipsychotics and the Risk of Hospitalization for Ventricular Arrhythmias or Cardiac ArrestAcc Current Journal Review, 14
J. Morris, B. Fries, D. Mehr, C. Hawes, C. Phillips, Vincent Mor, L. Lipsitz (1994)
MDS Cognitive Performance Scale.Journal of gerontology, 49 4
S. Greenland (2004)
Model-based estimation of relative risks and other epidemiologic measures in studies of common outcomes and in case-control studies.American journal of epidemiology, 160 4
M. Snowden, Wayne McCormick, J. Russo, D. Srebnik, Kate Comtois, James Bowen, L. Teri, E. Larson (1999)
Validity and Responsiveness of the Minimum Data SetJournal of the American Geriatrics Society, 47
B. Briesacher, M. Limcangco, L. Simoni-Wastila, J. Doshi, J. Doshi, Suzi Levens, D. Shea, B. Stuart (2005)
The quality of antipsychotic drug prescribing in nursing homes.Archives of internal medicine, 165 11
M. Snowden, Kersten Sato, P. Roy-Byrne (2003)
Assessment and Treatment of Nursing Home Residents with Depression or Behavioral Symptoms Associated with Dementia: A Review of the LiteratureJournal of the American Geriatrics Society, 51
Wolters Kluwer (2008)
Does Organisational Culture Influence Prescribing in Care Homes for Older People?: A New Direction for Research.
ORIGINAL INVESTIGATION Unexplained Variation Across US Nursing Homes in Antipsychotic Prescribing Rates Yong Chen, MD, MHS; Becky A. Briesacher, PhD; Terry S. Field, DSc; Jennifer Tjia, MD; Denys T. Lau, PhD; Jerry H. Gurwitz, MD Background: Serious safety concerns related to the use the antipsychotic medication users, 32% (n=1545) had of antipsychotics have not decreased the prescribing of no identified clinical indication for this therapy. Resi- these agents to nursing home (NH) residents. We as- dents entering NHs with the highest facility-level anti- sessed the extent to which resident clinical characteris- psychotic rates were 1.37 times more likely to receive an- tics and institutional prescribing practice were associ- tipsychotics relative to those entering the lowest ated with antipsychotic prescribing. prescribing rate NHs, after adjusting for potential clini- cal indications (risk ratio [RR], 1.37; 95% confidence in- Methods: Antipsychotic prescribing was assessed for a terval [CI], 1.24-1.51). The elevated risk associated with nationwide, cross-sectional population of 16 586 newly facility-level prescribing rates was apparent for only NH admitted NH residents in 2006. We computed facility- residents with dementia but no psychosis (RR, 1.40; 95% level antipsychotic rates based on the previous year’s CI, 1.23-1.59) and residents without dementia or psy-
JAMA Internal Medicine – American Medical Association
Published: Jan 11, 2010
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