Study of Antipsychotic Use Connection to Staffing Levels

Aug 5, 2022 | Nursing HPRD & Turnover, Research Studies of PBJ Data

PBJ research report and related news:

Journal of postacute and longterm care medicine

Association Between Long-Term Care Facility Staffing Levels and Antipsychotic Use in US Long-Term Care Facilitie

This study sought to examine the association between staffing and antipsychotic prescribing in LTC facilities.

These findings provide support for policy-based interventions to decrease antipsychotic use in LTC facilities by improving staffing skill mix and staffing levels. The results may also inform nursing staff education and training on antipsychotic prescribing practices


Chappell, Victoria, et al. “Association Between Long-Term Care Facility Staffing Levels and Antipsychotic Use in US Long-Term Care Facilities.” Journal of the American Medical Directors Association, 2022. Crossref, 


Antipsychotic Use in US LTC Facilities Connected With Staffing Levels

With prior evidence suggesting staffing levels in long-term care (LTC) facilities may impact rates of inappropriate antipsychotic use, researchers examined the connection between antipsychotic prescribing and staffing in LTC facilities.

Data on US LTC facilities between 2016 and 2018 was extracted from the Nursing Home Compare and LTCFocus datasets, which also contained information from the Minimum Data Set database on facility characteristics and staffing measures from the Payroll-Based Journal system.

Of the 10,436 facilities included, the mean staff level was 3.69 (SD = 0.67) staffing hours per patient per day. The mean antipsychotic use rate across all facilities was 15.24% (SD = 8.62%).

Researchers reported a 0.75% decrease in inappropriate antipsychotic prescribing per unit increase in overall staff-to-patient ratio.


Matthews, Samantha . “Antipsychotic Use in US LTC Facilities Connected With Staffing Levels.” Annals of Long-Term Care, 3 Aug 2022,


Antipsychotics use falls when LTC nurse staffing hours rise: study

Higher staffing levels in long-term care facilities are linked with lower rates of antipsychotic prescribing, finds a new study representing data from most U.S. nursing homes.

Investigators examined records across more than 10,400 facilities including staffing levels and the frequency of inappropriate antipsychotic prescribing between 2016 and 2018. Data came from the federal Nursing Home Compare and Brown University’s LTCFocus datasets.

Facilities overall had a 15.24% rate of antipsychotic use, with a significant association between how well they were staffed and level of inappropriate prescribing, reported Dallas P. Seitz, MD, PhD, of Queen’s University and Calgary University in Canada.


Lasek, Alicia. “Antipsychotics Use Falls When LTC Nurse Staffing Hours Rise: Study.” McKnight’s Long-Term Care News, 5 Aug. 2022,

More News in this PBJ Topic

LPN Exclusion Triggers Confusion & Questions

News Digest: Mandated Nursing Minimums Ignores Key Nursing Role CNA's, LPN's and RN's form the backbone of skilled nursing facilities.  All three roles are used in calculating and determining a facility's Five Star staffing rating.  Yet the...

read more

Ideas Emerge to Overcome Workforce Shortages

News Digest: Minimum Staffing Rules Incent Plan to Hire More Nurses As some view a minimum staffing requirement as almost an inevitability, strategies begin to emerge to accomplish tactics such as increasing the available pool of nursing, lowering...

read more

Leaked CMS Study Conflicts with Minimum Staffing Plans

News Digest: Leaked CMS Study Conflicts with Minimum Staffing Plans A comprehensive report prepared under contract to CMS by ABT Associates summarizes results from a Nursing Home Staffing Study including reseach activities between May and December...

read more