Nursing home staff recognize the value of reducing antipsychotic medications; however, they also experience multiple barriers to reduction in routine clinical practice. Achievement of further reductions in antipsychotic medication use will require significant additional efforts and adequate clinical personnel to address these barriers.

Many states require radiologists to notify women of dense breast status. Our aim was to elicit women’s response to state mandated dense breast notification language. Of respondents, 82% report that current notification does not inform them of additional screening studies available, and 41% report notification does not inform them of next steps. Open-ended responses indicate three main areas of patient concern: decisional needs, decision quality, and decision support. We modified an existing decision support framework to capture additional themes specific to dense breast decisions. The developed framework can be used to revise and improve current breast density reporting methods.

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