Evidence map›Paper›PMID 22264855›Full record

ReviewThe American journal of geriatric pharmacotherapy2012

Challenge of changing nursing home prescribing culture.

Jennifer Tjia, Jerry H Gurwitz, Becky A Briesacher

Registry-linked trialAbstract readReview
In one paragraph

Review in The American journal of geriatric pharmacotherapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01347619 (iADAPT), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01347619 nacompletednot on this map

iADAPT: Off Label Use of Antipsychotics in the Nursing Home

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2010 to 2013Enrolled42ConditionsOff-label Use of Atypical Antipsychotic DrugsArmsToolkit only with Web Access to Online Version, Toolkit, Periodic Audit/Feedback, Educational Messages, Items in Arm 2 plus Academic Detailing Program
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. State Variation in Chronic Opioid Use in Long-Term Care Nursing Home Residents.Journal of the American Medical Directors Association · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jennifer TjiaDivision of Geriatric Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA. jennifer.tjia@umassmed.edu
Jerry H Gurwitz
Becky A Briesacher

Funding

iADAPT: Off-Label Use of Antipsychotics in the Nursing HomeR18HS019351 · AHRQ · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GURWITZ, JERRY H · 2010 to 2010
$1.5M
Cost-related Underuse of Medications and the Health of Older AdultsK01AG031836 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BRIESACHER, BECKY A · 2008 to 2012
$679k
Optimizing Chronic Disease Prevention and Management in Advanced DementiaR21HS019579 · AHRQ · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2010 to 2010
$499k
AHRQ HHS R18 HS019351AHRQ HHS R21 HS019579AHRQ HHS R21 HS19579NIA NIH HHS K01 AG031836NIA NIH HHS K01AG031836
6 · The paper itself

Abstract

This article described a framework for improving prescribing in nursing homes (NH) by focusing on the whole facility as a system that has created a "prescribing culture." We offered this paradigm as an alternative to focused interventions that target prescribers only. We used the example of atypical antipsychotics to illustrate the approach. We also highlighted elements of the NH culture change movement that are germane to medication prescribing, and illustrated which elements of NH culture were shown to be associated with suboptimal quality of care. We concluded by describing current models, including our study funded by the Agency for Healthcare Research and Quality, to identify the best methods of disseminating evidence-based medication use guides in NHs.

Indexed as

Organizational CultureAgedAntipsychotic AgentsEvidence-Based MedicineHealth Services MisuseHomes for the AgedHumansNursing HomesPractice Patterns, Physicians'United StatesAntipsychotic Agents

Identifiers

PMID22264855
PMCPMC3910400

What OpenQuestion holds

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Read underepoch 390

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.