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UMass Chan Affiliations
Department of Medicine, Division of Geriatric MedicineMeyers Primary Care Institute
Document Type
Journal ArticlePublication Date
2012-01-20Keywords
Nursing HomesPhysician's Practice Patterns
Prescriptions
Geriatrics
Health Services Research
Primary Care
Metadata
Show full item recordAbstract
This article described a framework for improving prescribing in nursing homes (NH) by focusing on the whole facility as a system that has created a "prescribing culture." We offered this paradigm as an alternative to focused interventions that target prescribers only. We used the example of atypical antipsychotics to illustrate the approach. We also highlighted elements of the NH culture change movement that are germane to medication prescribing, and illustrated which elements of NH culture were shown to be associated with suboptimal quality of care. We concluded by describing current models, including our study funded by the Agency for Healthcare Research and Quality, to identify the best methods of disseminating evidence-based medication use guides in NHs.Source
Am J Geriatr Pharmacother. 2012 Jan 18. Link to article on publisher's siteDOI
10.1016/j.amjopharm.2011.12.005Permanent Link to this Item
http://hdl.handle.net/20.500.14038/37129PubMed ID
22264855Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.amjopharm.2011.12.005