Skip Navigation

This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (18)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Oborne, C. A.
Right arrow Articles by Jackson, S. H. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Oborne, C. A.
Right arrow Articles by Jackson, S. H. D.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Age and Ageing 2002; 31: 435-439
© 2002, British Geriatrics Society

Research paper

An indicator of appropriate neuroleptic prescribing in nursing homes

C. Alice Oborne, Richard Hooper1, Ka Chi Li, Cameron G. Swift and Stephen H. D. Jackson

Clinical Age Research Unit, Departments of Health Care of the Elderly and
1 Public Health Services, Guys, Kings and St Thomas' School of Medicine, London, UK

Abstract

Objective: to derive and apply objective criteria which assess the appropriateness of neuroleptic prescribing, in a random sample of nursing homes.

Design: cross-sectional survey of prescribing in a random sample of nursing homes.

Setting: 22 homes with more than 35 residents in the former South Thames Region.

Subjects: 934 nursing home residents aged 65 years or over.

Methods: we compared criteria of appropriate neuroleptic prescribing, including appropriate indication and review, to clinical data documented in the nursing and GP notes of residents prescribed neuroleptics.

Results: of the 229 (24.5%) residents prescribed neuroleptics, clinical notes were available for 225. Clinical data indicated that only 40/225 (17.8%) residents receiving neuroleptics received appropriate therapy. The intra-cluster correlations for appropriate and inappropriate prescribing of neuroleptics were 0.038 and 0.12 respectively. It was not possible to derive reference ranges of observed prescribing that included homes demonstrating appropriate prescribing whilst excluding those with inappropriate prescribing. Thus, clinical data are needed whenever neuroleptic appropriateness is assessed. Criteria were readily applicable in nursing homes.

Conclusion: application of criteria of appropriate neuroleptic prescribing in a random sample of nursing homes identified suboptimal prescribing to elderly residents.

Keywords: nursing homes, antipsychotic agents, prescriptions, drug, quality of health care, quality indicators, health care


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 The PsychiatristHome page
D. P. Alldred, D. R. Petty, P. Bowie, A. G. Zermansky, and D. K. Raynor
Antipsychotic prescribing patterns in care homes and relationship with dementia
The Psychiatrist, September 1, 2007; 31(9): 329 - 332.
[Abstract] [Full Text] [PDF]

Home page
 Age AgeingHome page
H.-M. Alanen, H. Finne-Soveri, A. Noro, and E. Leinonen
Use of antipsychotics among nonagenarian residents in long-term institutional care in Finland
Age Ageing, September 1, 2006; 35(5): 508 - 513.
[Abstract] [Full Text] [PDF]

Home page
 Int J Qual Health CareHome page
M. P. Tully and J. A. Cantrill
The validity of explicit indicators of prescribing appropriateness
Int. J. Qual. Health Care, April 1, 2006; 18(2): 87 - 94.
[Abstract] [Full Text] [PDF]

Home page
 J PsychopharmacolHome page
D. Layton, S. Harris, L. V. Wilton, and S. A. W. Shakir
Comparison of incidence rates of cerebrovascular accidents and transient ischaemic attacks in observational cohort studies of patients prescribed risperidone, quetiapine or olanzapine in general practice in England including patients with dementia
J Psychopharmacol, September 1, 2005; 19(5): 473 - 482.
[Abstract] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.