Am J Psychiatry 1992; 149:1390-1392
Copyright © 1992 by American Psychiatric Association
The impact of antipsychotic drug regulations on psychotropic prescribing practices in nursing homes
BW Rovner, BA Edelman, MP Cox and Y Shmuely
Department of Psychiatry and Human Behavior, Jefferson Medical College, Philadelphia, PA.
The authors prospectively studied psychotropic prescribing practices and
quality assurance data in 17 nursing homes in the Baltimore area to assess
the impact of federal antipsychotic drug regulations. There was a 36%
reduction in prescriptions for neuroleptics over 6 months, no increase in
prescriptions for sedative/hypnotics, and a small increase in prescriptions
for antidepressants. The authors conclude that psychotropic drug
prescribing practices and patient outcomes remain important areas of study
in nursing homes.
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