Reasoning, Reviewing and Reducing Antipsychotics in Care Homes using Technology

Gary Mitchell, Claire Royston, Colin Sheeran, Joanne Strain

Research output: Contribution to conferencePosterpeer-review


Introduction: Sustained administration of antipsychotic medications can be associated with adverse effects including accelerated cognitive decline and over-sedation (DOH, 2015). Despite this, there is evidence to indicate that 80% of people living with dementia, who receive these medications, may not derive appropriate therapeutic effect from these medications (Banerjee, 2009)
Service Development: The authors have developed a specialist medication management application (App) which prompts review of antipsychotic medication that a person is prescribed. The ‘App’, runs on standard IPads within care home settings (Royston et al. 2016). The standards set within the App are that each resident must have a documented annual review of medication from the resident’s GP and a care plan that clearly indicates the rationale for prescription. If these standards are not met, a referral to the GP is created and, operating the find and fix principle that is central to the functionality of the system, the referral is tracked until it has been completed. The App records data on individual dose and uses a pre-programmed algorithm which automatically triggers an urgent review process if the dose exceeds the normal therapeutic range.
Sample: The App was operationalised in 143 care homes that provide care for 8,095 residents living with dementia throughout England, Scotland, Wales and Northern Ireland.
Results: Through our analysis we found that 1650 residents (20.38% of total sample) are currently prescribed antipsychotic medications. In addition it was found that following the use of the App, 1.27% where prescribed dose of medication exceeded the normal therapeutic range and 2.35% of residents did not have their medications care-planned and only 0.26% had not had a GP review within the last 12 months.
Discussion: The medication App has enabled care home nurses to detect and act on their resident’s antipsychotic medication prescriptions.
Original languageEnglish
Publication statusAccepted - 14 Jan 2018
EventRoyal College of Nursing 2018 International Research Conference -
Duration: 16 Apr 201818 Apr 2018


ConferenceRoyal College of Nursing 2018 International Research Conference


  • Dementia
  • Care Homes
  • Technological Innovation
  • Antipsychotic Medications
  • Medication Management
  • Older People
  • Informatics


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