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Caregiver teamwork improved psychotropic drug prescribing in nursing homes

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Question Does a multidisciplinary team intervention in addition to drug use guidelines affect psychotropic drug prescribing in nursing homes (NHs)?

Design

12 month randomised controlled trial.

Setting

36 NHs in Sweden.

Patients

1854 permanent NH residents (mean age 84 y, 70% women) of whom 39% had a diagnosis of dementia, 4.3% had a psychotic disorder, and 6.4% had a diagnosis of depression. NHs were eligible if they were typical of the region, were under the jurisdiction of 1 of 18 randomly selected regional pharmacy directors, and the supervising physicians were not geriatric specialists.

Intervention

NHs were allocated to an experimental intervention group (15 NHs, 626 residents) or a control group (18 NHs, 1228 residents). The experimental intervention involved 1 visit each month …

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