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Inappropriate use of medicines in acute care for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making

METHODS Data were collected using individual semistructured interviews (doctors, nurses, pharmacists, and 5 patients), focus groups (12 patients), and observation of the main activities on 2 wards (by 2 pharmacists). Interviews and focus groups were taped and transcribed verbatim. Observations of events relating to medicine use were recorded in notes, which were written up in detail using an observation grid. Data were analysed using grounded theory principles from both biomedical and sociological perspectives.