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  Vol. 168 No. 2, January 28, 2008 TABLE OF CONTENTS
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COMMENTS AND OPINIONS
It Is Time to Assess the Role of Organizational Culture in Nursing Home Prescribing Patterns—Reply

Geoffrey M. Anderson, MD, PhD; Paula A. Rochon, MD, MPH

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

We thank Gruneir and Lapane for their letter and agree with them that our research raises important questions about the factors behind the variations in the use of antipsychiotic agents across NHs. Our work suggests that patient factors cannot fully explain the observed differences in use at the facility level. Grunier and Lapane raise the issue of organizational culture as a key determinant of facility-level variation, and we agree that further work on factors that shape this culture are important in both understanding and improving how care is provided to the frail elderly population in NHs. We are currently working with the provincial government and NHs in Ontario, Canada, to develop a collaborative and coordinated strategy for creating a broader culture for NH safety and a safer environment for NH residents.


AUTHOR INFORMATION
Correspondence: Dr Rochon, Kunin-Lunenfield Applied Research Unit, . . . [Full Text of this Article]



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RELATED LETTER

It Is Time to Assess the Role of Organizational Culture in Nursing Home Prescribing Patterns
Andrea Gruneir and Kate L. Lapane
Arch Intern Med. 2008;168(2):238-239.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Variation in Nursing Home Antipsychotic Prescribing Rates
Paula A. Rochon, Therese A. Stukel, Susan E. Bronskill, Tara Gomes, Kathy Sykora, Walter P. Wodchis, Michael Hillmer, Alexander Kopp, Jerry H. Gurwitz, and Geoffrey M. Anderson
Arch Intern Med. 2007;167(7):676-683.
ABSTRACT | FULL TEXT  






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