Full text not available from this repository.

Abstract

Objective: To assess the impact of a multi-strategic,interdisciplinary intervention on antipsychotic andbenzodiazepine prescribing in residential aged care facilities(RACFs).Design, setting: Prospective, longitudinal intervention inAustralian RACFs, April 2014 e March 2016.Participants: 150 RACFs (with 12 157 residents) comprised themain participant group; two further groups were consultantpharmacists (staff education) and community pharmacies(prescribing data). Data for all RACF residents, excludingresidents receiving respite or end-stage palliative care, wereincluded.Intervention: A multi-strategic program comprisingpsychotropic medication audit and feedback, staff education,and interdisciplinary case review at baseline and 3 months; finalaudit at 6 months.Main outcome measure: Mean prevalence of regularantipsychotic and benzodiazepine prescribing at baseline, and at3 and 6 months. Secondary measures: chlorpromazine anddiazepam equivalent doses/day/resident; proportions ofresidents for whom drug was ceased or the dose reduced;prevalence of antidepressant and prn (as required) psychotropicprescribing (to detect any substitution practice).Results: During the 6-month intervention, the proportion ofresidents prescribed antipsychotics declined by 13% (from21.6% [95% CI, 20.4e22.9%] to 18.9% [95% CI, 17.7e20.1%]),and that of residents regularly prescribed benzodiazepines by21% (from 22.2% [95% CI, 21.0e23.5%] to 17.6% [95% CI, 16.5e18.7]; each, P P P Conclusions: The RedUSe program achieved significantreductions in the proportions of RACF residents prescribedantipsychotics and benzodiazepines.

Item Type:	Article
Authors/Creators:	Westbury, JL and Gee, P and Ling, T and Brown, DT and Franks, KH and Bindoff, I and Bindoff, A and Peterson, GM
Keywords:	psychotropic, intervention, antipsychotics and benzodiazepines, nursing homes
Journal or Publication Title:	Medical Journal of Australia
Publisher:	Australasian Med Publ Co Ltd
ISSN:	0025-729X
DOI / ID Number:	10.5694/mja17.00857
Copyright Information:	Copyright 2018 AMPCo Pty Ltd. Produced with Elsevier B.V. All rights reserved.
Related URLs:	Google Scholar: Westbury, JL UTAS Profile: Westbury, JL Google Scholar: Gee, P UTAS Profile: Gee, P Google Scholar: Ling, T UTAS Profile: Ling, T Google Scholar: Bindoff, I UTAS Profile: Bindoff, I Google Scholar: Bindoff, A UTAS Profile: Peterson, GM
Item Statistics:	View statistics for this item

Actions (login required)

Item Control Page