Discussion
dementia, pain
To our knowledge, HIOPP-3-iTBX is the first randomized study to investigate structures, processes, and outcomes of an interprofessional medication management in NH in Germany. The complex intervention in HIOPP-3-iTBX did not lead to a reduction of PIM and/or antipsychotics in the participating NHR [The analysis showed that dementia in NHR and number of drugs were associated with a higher risk for the prescription of PIM/antipsychotics. Specific additional nursing qualifications regarding pain and geriatrics (Previous work shows that higher qualification of nursing professionals is associated with improved patient outcomes [However, interprofessional cooperation means more than just the sum of tasks distributed among different disciplines. It is a model of collaboration between different healthcare providers in which the different professional groups have an awareness of the competencies and different roles of the other team members and are aware of a common goal for the patient (patient-centeredness) [To summarize, our results emphasize the importance of nursing quality and qualifications for patient safety in NH.