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Nursing home medication costs.

J B Howard, K E Strong, K E Strong

    Journal of the American Geriatrics Society
    |May 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Poor prescribing practices drive up drug costs in nursing homes, particularly with antibiotics and psychotropic medications. New policies aim to improve physician prescribing to reduce waste without compromising patient care.

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    Area of Science:

    • Geriatric Medicine
    • Pharmacoeconomics
    • Health Services Research

    Background:

    • High costs associated with discarded medications in long-term care facilities.
    • Potential link between prescribing practices and medication waste.
    • Need for strategies to optimize medication use and reduce costs in nursing homes.

    Purpose of the Study:

    • To calculate the cost of discarded drugs over a four-year period at a level-III nursing home.
    • To identify the contribution of prescribing practices to medication waste.
    • To develop medication policies to improve prescribing habits and reduce costs.

    Main Methods:

    • Retrospective analysis of discarded drug costs over four years.
    • Detailed examination of antibiotic and psychotropic drug prescriptions, including PRN (as needed) orders.

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  • Development and implementation of new medication policies.
  • Main Results:

    • A significant portion of discarded drug costs was attributed to suboptimal prescribing.
    • Antibiotic and psychotropic drug prescriptions, especially PRN orders, were key areas of waste.
    • Implementation of medication policies was initiated to address prescribing habits.

    Conclusions:

    • Poor prescribing practices represent a substantial financial burden due to discarded medications in nursing homes.
    • Targeted interventions focusing on antibiotic and psychotropic prescribing can mitigate drug waste.
    • Developing and enforcing medication policies is crucial for reducing costs while maintaining quality of care.