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03/16/26

Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs.

Office of Inspector General, Department of Health and Human Services.

Collection Topics
Culture, Work System, and Implementation Measurement, Monitoring, and Event Analysis
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Summary

Inappropriate diagnoses can lead to unnecessary treatment, waste, and patient harm. This review of 40 inspections reveals that some nursing home residents were incorrectly diagnosed with schizophrenia to boost antipsychotic drug quality scores. It highlights how financial and regulatory incentives influence medical decisions. The report recommends commitment to ongoing improvement projects, better data use, and increased communication with patients and families about antipsychotics to address the problem.

Read the paper
Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs. Office of Inspector General, Department of Health and Human Services: 2026.