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From Jul 2014 to Jun 2022, quarterly prevalence estimates of four QIs were evaluated adjusting for potential confounders. Joinpoint regression analysis was used to identify QI trend changes. Average quarterly percentage changes for the study period were estimated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The quarterly prevalence of residents who had any falls (28.5%\u201333.3%) and injurious falls (14.5%\u201318.6%) remained stable during the study period. The prevalence of residents who had falls requiring hospitalisation varied (3.8%\u20139.1%) and average quarterly percentage increase was 1.01% (95% confidence interval (CI) 0.30, 2.08). There were changes in quarterly prevalence of residents experiencing high sedative load (28.1%\u201332.1%), using antipsychotic(s) (8.9%\u201319.3%), and anti\u2010anxiety and hypnotic medication(s) (11.4%\u201319.0%). Average quarterly percentage decreases were at 0.17% (95% CI 0.01, 0.35) in residents experiencing a high sedative load, 2.14% (95% CI 1.90, 2.41) for antipsychotics use and 1.63% (95% CI 1.45, 1.82) for anti\u2010anxiety or hypnotic medication use. Regarding trend changes, medication\u2010related QIs decreased from Q3 or Q4 2018, or Q1 2019, around when the Royal Commission was established. Medication\u2010related QIs continued to decline when restrictions on risperidone were applied and COVID\u201019 started.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medication\u2010related QIs decreased during the study period, especially after national reforms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70240","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:33:42Z","timestamp":1790310822000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Falls and Medicine Use in Australian Long\u2010Term Care, 2014\u20132022: Evidence From 8298 Residents"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3793-7716","authenticated-orcid":false,"given":"Ying","family":"Xu","sequence":"first","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1083-8192","authenticated-orcid":false,"given":"Johanna I.","family":"Westbrook","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9083-7845","authenticated-orcid":false,"given":"Isabelle","family":"Meulenbroeks","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8261-2665","authenticated-orcid":false,"given":"Maria C.","family":"Inacio","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians (ROSA) South Australian Health &amp; Medical Research Institute  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1192-4121","authenticated-orcid":false,"given":"Gillian E.","family":"Caughey","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians (ROSA) South Australian Health &amp; Medical Research Institute  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7865-343X","authenticated-orcid":false,"given":"Peter D.","family":"Hibbert","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University  Sydney New South Wales Australia"},{"name":"IIMPACT in Health, Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0296-4957","authenticated-orcid":false,"given":"Jeffrey","family":"Braithwaite","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9740-6319","authenticated-orcid":false,"given":"Nasir","family":"Wabe","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Royal Commission into Aged Care Quality and Safety \u201cFinal Report: Care Dignity and Respect \u201d(accessed 9 August 2026) https:\/\/www.royalcommission.gov.au\/aged\u2010care."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhqr.2024.06.004"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2025.105747"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzaa078"},{"key":"e_1_2_11_6_1","unstructured":"KPMG \u201cAged Care Market Analysis \u201d(accessed 9 August 2026) https:\/\/assets.kpmg.com\/content\/dam\/kpmgsites\/au\/pdf\/2026\/kpmg\u2010aged\u2010care\u2010market\u2010analysis\u20102026.pdf.coredownload.inline.pdf?utm_source=chatgpt.com."},{"key":"e_1_2_11_7_1","unstructured":"\u201cAustralian Statistical Geography Standard (ASGS) Edition 3 \u201d(accessed 9 August 2026) https:\/\/www.abs.gov.au\/statistics\/standards\/australian\u2010statistical\u2010geography\u2010standard\u2010asgs\u2010edition\u20103\/jul2021\u2010jun2026\/remoteness\u2010structure\/remoteness\u2010areas."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010063152"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010024\u201011479\u2010x"},{"key":"e_1_2_11_10_1","volume-title":"Outcome Monitoring System Technical Specification \u2013 High Sedative Load. 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