Physician and staff assessments of drug interventions and outcomes in Swedish nursing homes

Annals of Pharmacotherapy

Volumn 32, Issue 1, 1998, Pages 27-32

  Schmidt, Ingrid K ^a   Claesson, Cecilia B ^b   Westerholm, Barbro ^c   Nilsson, Lars G ^d  

^a Natl Bd of Health and Welfare ^*  (United States)

^b NATIONAL BOARD OF HEALTH AND WELFARE   (Sweden)

^c Network for Pharmacoepidemiology Foundation   (Sweden)

^d Pharmaceutical Affairs   (Sweden)

Author keywords

Geriatrics; Nursing homes; Prescribing

Indexed keywords

ANXIOLYTIC AGENT; BENZODIAZEPINE DERIVATIVE; HYPNOTIC AGENT; NEUROLEPTIC AGENT; PSYCHOTROPIC AGENT; TRICYCLIC ANTIDEPRESSANT AGENT;

ADULT; AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED STUDY; DRUG CHOICE; DRUG USE; FEMALE; GERIATRIC CARE; HEALTH CARE QUALITY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL STAFF; NURSING HOME; NURSING STAFF; OUTCOMES RESEARCH; PATIENT ATTITUDE; PHARMACIST; PRACTICE GUIDELINE; PRESCRIPTION; PRIORITY JOURNAL; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; RESIDENTIAL CARE; SWEDEN;

AGED; AGED, 80 AND OVER; DRUG UTILIZATION; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; NURSES; NURSES' AIDES; NURSING HOMES; NURSING, PRACTICAL; PATIENT CARE TEAM; PHARMACISTS; PHYSICIANS; PSYCHOTROPIC DRUGS; SWEDEN;

EID: 0031909166     PISSN: 10600280     EISSN: None     Source Type: Journal    
DOI: 10.1345/aph.17104     Document Type: Article

References (22)

1. Andersson M. Drugs prescribed for patients in nursing homes or under medical care. Compr Gerontol 1989;(suppl A+B):8-15.
2. Avorn J, Dreyer P, Connelly K, Soumerai SB. Use of psychoactive medication and the quality of care in rest homes. N Engl J Med 1989;320: 227-32.
3. Beardsley RS, Larson DB, Burns BJ, Thompson JW, Kamerow DB. Prescribing of psychotropics in elderly nursing home patients. J Am Geriatr Soc 1989;37:327-30.
4. Harrington C, Tompkins C, Curtis M, Grant L. Psychotropic drug use in long-term care facilities: a review of the literature. Gerontologist 1992; 32:822-33.
5. Gulmann NC. Demens og etik: fra psykofarmaka till livs testamente. Nord Med 1993;108:266-8.
6. Snowdon J, Vaugan R, Miller R, Burgess EE, Tremlett P. Psychotropic drug use in Sydney nursing homes. Med J Aust 1995;17:70-2.
7. McGrath AM, Jackson GA. Survey of neuroleptic prescribing in residents of nursing homes in Glasgow. BMJ 1996;312:611-2.
8. Shorr RI, Fought RL, Ray WA. Changes in antipsychotic drug use in nursing home during implementation of the OBRA-87 regulations. JAMA 1994;271:358-62.
9. Rovner BW, Edelman BA, Cox MP, Shmuely Y. The impact of antipsychotic drug regulations on psychotropic drug prescribing practices in nursing homes. Am J Psychiatry 1992;149:1390-2.
10. Young LY, Leach DB, Anderson D. Decreased medication costs in a skilled nursing facility by clinical pharmacy services. Contemp Pharm Pract 1981;4:233-7.
11. Lipton HL, Bero LA, Bird JA, McPhee SJ. The impact of clinical pharmacists' consultations on physicians geriatric drug prescribing. Med Care 1992;30:646-54.
12. Hatoum HT, Akhras K. 1993 Bibliography: a 32-year literature review on the value and acceptance of ambulatory care provided by pharmacists. Ann Pharmacother 1993;27:1106-19.
13. Lipton HL, Byrns PJ, Soumerai SB, Chrischilles EA. Pharmacists as agents of change for rational drug therapy. Int J Technol Assess Health Care 1995;11:485-508.
14. Avorn J, Soumerai SB, Everitt DE, Ross-Degan D, Beers MH, Sherman D, et al. A randomized trial of a program to reduce the use of psychoactive drugs in nursing homes. N Engl J Med 1992;327:168-73.
15. Ray WA, Taylor JA, Meador KG, Lichtenstein MJ, Griffin MR, Fought R, et al. Reducing antipsychotic drug use in nursing homes - a controlled trial of provider education. Arch Intern Med 1993;153:713-21.
16. Medical Products Agency & The Norwegian Medicines Control Authority Treatment of Mental Conditions in Patients with Dementia. Workshop held in Uppsala, Sweden in March 1994, 1995:1.
17. The National Board of Health and Welfare. Drug use in nursing homes. Special report 1996. Stockholm, Sweden, 1996:1.
18. Schmidt IK, Claesson CB, Nilsson LG, Westerholm B, Svarstad BL. The impact of regular multidisciplinary team interventions on psychotropic drug prescribing in Swedish nursing homes. J Am Geriatr Soc (in press).
19. SPSS for Windows. Release 6.0. Chicago: SPSS Inc., 1993.
20. Starr M, Whalley LJ. Drug induced dementia. Drug Saf 1994;11:310-7.
21. Thapa PB, Meador KG, Giedon P, Fought RL, Ray WA. Effects of antipsychotic withdrawal in elderly nursing home residents. J Am Geriatr Soc 1994;42:7-13.
22. Rovner BW, Steele CD, Shmuely Y, Folstein MF. A randomized trial of dementia care in nursing homes. J Am Geriatr Soc 1996;44:7-13.