Abstract
Prior research in geriatric medicine has shown that the use of antipsychotic medications
by older people can result in significant adverse effects and increased mortality.
This article focuses on the implementation of a methodology created by the Appropriate
Use of Antipsychotics (AUA) collaborative, a project developed by the Senior Quality
Leap Initiative (SQLI) in Canada, to reduce the use of antipsychotic medications among
a population of older individuals at a long-term chronic hospital. The methodology
included use of a variety of standardized AUA tools, the establishment of staff awareness
and alignment, focused internal reporting with benchmarks, and collaborative teamwork
with the use of person-centered care. Through this framework, the facility was able
to reduce antipsychotic medication use from 22.0% to 14.9% over 2 years.
Keywords
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References
- Association of the Centers for Medicare & Medicaid Services’ national partnership to improve dementia care with the use of antipsychotics and other psychotropics in long-term care in the United States from 2009 to 2014.JAMA Intern Med. 2018; 178: 640-647
- National Partnership to Improve Dementia Care in Nursing Home.(Available at:)
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- Association of a communication training program with use of antipsychotics in nursing homes.JAMA Intern Med. 2017; 177: 846-853
- Minimum Data Set.(Available at:)https://www.mass.gov/info-details/minimum-data-set-mdsDate accessed: August 1, 2019
- Appropriate use of antipsychotics.(Available at:)https://www.cfhi-fcass.ca/WhatWeDo/appropriate-use-of-antipsychoticsDate accessed: August 1, 2019
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Article info
Publication history
Published online: September 17, 2020
Footnotes
This work was supported by the Canadian Foundation for Healthcare Improvement (CFHI), a not-for-profit organization funded by Health Canada. CFHI supports partners to accelerate the identification, spread, and scale of proven health care innovations.
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
