ArticleDrugs & aging2007
Does organisational culture influence prescribing in care homes for older people? A new direction for research.
Article in Drugs & aging, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationship between Organizational Culture and the Use of Psychotropic Medicines in Nursing Homes: A Systematic Integrative Review.Drugs & aging · 2018Pooled it
- Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): Protocol for a cluster-randomized trial.Trials · 2017Trial
- Hospice agency characteristics associated with benzodiazepine and antipsychotic prescribing.Journal of the American Geriatrics Society · 2023Article
- Variation in Benzodiazepine and Antipsychotic Prescribing Among Hospice Agencies.Journal of general internal medicine · 2022Article
- Nursing Home Characteristics Associated with High and Low Levels of Antipsychotic, Benzodiazepine, and Opioid Prescribing to Residents with Alzheimer's Disease and Related Dementias: A Cross-Sectional Analysis.Journal of the American Medical Directors Association · 2022Article
- Using data linkage for national surveillance of clinical quality indicators for dementia care among Australian aged care users.Scientific reports · 2021Article
- The role of organizational and professional cultures in medication safety: a scoping review of the literature.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2019Article
- Process evaluation of a complex intervention to optimize quality of prescribing in nursing homes (COME-ON study).Implementation science : IS · 2019Article
- Reducing Psychotropic Drug Use in Nursing Homes in Belgium: An Implementation Study for the Roll-Out of a Practice Improvement Initiative.Drugs & aging · 2019Article
- Geographic Variation in the Initiation of Commonly Used Opioids and Dosage Strength in United States Nursing Homes.Medical care · 2018Article
- Article
- Antibiotic prescribing in long-term care facilities: a meta-synthesis of qualitative research.Drugs & aging · 2015Review
- Antibiotic prescribing in long-term care facilities: a qualitative, multidisciplinary investigation.BMJ open · 2014Article
- Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.Drugs & aging · 2012Article
- Challenge of changing nursing home prescribing culture.The American journal of geriatric pharmacotherapy · 2012Review
- Sedative load of medications prescribed for older people with dementia in care homes.BMC geriatrics · 2011Article
- Pharmacy interventions on prescribing in nursing homes: from evidence to practice.Therapeutic advances in drug safety · 2011Review
- Correlations of nursing home characteristics with prescription of osteoporosis medications.Bone · 2011Article
- Antidepressant prescribing in US nursing homes between 1996 and 2006 and its relationship to staffing patterns and use of other psychotropic medications.Journal of the American Medical Directors Association · 2010Article
- Unexplained variation across US nursing homes in antipsychotic prescribing rates.Archives of internal medicine · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prescribing in care homes for older people has been the focus of much research and debate because of inappropriate drug choice and poor monitoring practices. In the US, this has led to the implementation of punitive and adversarial regulation that has sought to improve the quality of prescribing in this healthcare setting. This approach is unique to the US and has not been replicated elsewhere. The literature has revealed that there are limitations as to how much can be achieved with regulation that is externally imposed (an 'external factor'). Other influences, which may be categorised as 'internal factors' operating within the care home (e.g. patient, physician and care-home characteristics), also affect prescribing. However, these internal and external factors do not appear to affect prescribing uniformly, and poor prescribing practices in care homes continue to be observed. One intangible factor that has received little attention in this area of healthcare is that of organisational culture. This factor has been linked to quality and performance within other health organisations. Consideration of organisational culture within care-home settings may help to understand what drives prescribing decisions in this particularly vulnerable patient group and thus provide new directions for future strategies to promote quality care.
Indexed as
Identifiers
17313197What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.