Journal: Medical Care
Lead Author: Daniel Harris
All Authors: Daniel A. Harris, Laura C. Maclagan, Priscila Pequeno, Andrea Iaboni, Peter C. Austin, Laura C. Rosella, Jun Guan, Colleen J. Maxwell, and Susan E. Bronskill
Potentially inappropriate antipsychotic use has declined in nursing homes over the past decade; however, increases in the documentation of relevant clinical indications (eg, delusions) and the use of other psychotropic medications have raised concerns about diagnosis upcoding and medication substitution. Few studies have examined how these trends over time vary across and within nursing homes, information that may help to support antipsychotic reduction efforts.