Effectiveness of confidential reports to physicians on their prescribing of antipsychotic medications in nursing homes.

ABSTRACT:

Background

Antipsychotic medication use in nursing homes is associated with potential for harms. In Ontario, Canada, an agency of the provincial government offers nursing home physicians quarterly audit and feedback on their antipsychotic prescribing. We compared the characteristics of physicians who did and did not engage with the intervention, and assessed early changes in prescribing.

Methods

This population-level, retrospective cohort study used linked administrative databases to track prescribing practices in nursing homes pre-intervention (baseline), immediately post-initiative (3 months), and at follow-up (6 months). Exposure variables identified whether a physician signed up to participate (or not) or viewed the feedback following sign up (or not). Differences in the

SUBMITTER: Ivers NM 

PROVIDER: S-EPMC7427908 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature