Variation and Correlation of Potential Unintended Consequences of Antipsychotic Reduction in Ontario Nursing Homes Over Time

January 2023
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.