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Advanced Practice Registered Nurses' Quality Improvement Efforts to Reduce Antipsychotic Use in Nursing Homes

Flesner, Marcia, PhD, RN; Lueckenotte, Annette, MS, RN, FNGNA; Vogelsmeier, Amy, PhD RN, FAAN; Popejoy, Lori, PhD, APRN, GCNS-BC, FAAN; Canada, Kelli, PhD, MSW; Minner, Donna, RN, BSN; Galambos, Colleen, PhD; Rantz, Marilyn J., PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000366
Departments: Innovations in Quality Improvement in Long-term Care

Sinclair School of Nursing, University of Missouri, Columbia (Drs Vogelsmeier, Popejoy, and Rantz); Department of Social Work, College of Human and Environmental Sciences, University of Missouri, Columbia (Dr Canada); Missouri Quality Initiative (MOQI), Sinclair School of Nursing, University of Missouri-St Louis (Dr Flesner and Mss Lueckenotte and Minner); and Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee (Dr Galambos).

Correspondence: Marilyn J. Rantz, PhD, RN, FAAN, Sinclair School of Nursing, University of Missouri, Columbia, MO 65221 (

We acknowledge the gracious participation of 16 nursing homes in the St Louis area, their staffs, the APRNs, and other staff of the MOQI Initiative.

This project is supported by grant number 1E1CMS331080 from the Centers for Medicare & Medicaid (CMS) Innovations Center and Medicare-Medicaid Coordination Office ( The content is solely the responsibility of the authors and does not necessarily represent the official views of the CMS.

The authors declare no conflicts of interest.

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