Effect of Academic Detailing on Promoting Appropriate Prescribing of Antipsychotic Medication in Nursing Homes | Zendy

Mina Tadrous | Zendy; Kinwah Fung | Zendy; Laura Desveaux | Zendy; Tara Gomes | Zendy; Monica Taljaard | Zendy; Jeremy Grimshaw | Zendy; Chaim M. Bell | Zendy; Noah Ivers | Zendy

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Effect of Academic Detailing on Promoting Appropriate Prescribing of Antipsychotic Medication in Nursing Homes

Author(s) -

Mina Tadrous,

Kinwah Fung,

Laura Desveaux,

Tara Gomes,

Monica Taljaard,

Jeremy Grimshaw,

Chaim M. Bell,

Noah Ivers

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.5724

Subject(s) - medicine , academic detailing , medical prescription , randomized controlled trial , intervention (counseling) , family medicine , antipsychotic , cluster randomised controlled trial , nursing , medline , nursing homes , psychiatry , schizophrenia (object oriented programming) , surgery , law , political science

Key Points Question What is the real-world effectiveness of an academic detailing intervention in nursing homes to improve the appropriate prescribing of antipsychotics? Findings In this cluster randomized clinical trial of 40 nursing homes with 5363 residents in Ontario, Canada, academic detailing did not further reduce antipsychotic prescribing beyond a downward secular trend. Meaning The results of this study suggest that academic detailing in nursing homes may not be an effective intervention to reduce antipsychotic prescribing in an environment where standard quality improvement supports are working.

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