Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation

Table 3 Context-Mechanism-Outcome configurations concerning disengagement

Context	Blocking Mechanism	Outcome not achieved
Communication between Clinical Commissioning Group and general practitioners	Feedback on alerts requires logging in	Potential delays in patients being reviewed
	Reliance on alerts being sent out centrally	Potential delays in patients being reviewed
Information technology use in General Practice	Lack of use/not logging in to the system	Potential delays in review of patients
Community pharmacists conducting medicine use reviews with patients	No access to additional information	Opportunity for more appropriate and directed medication review lost
Community Pharmacy	Perceived conflict and lack of ownership	Limits potential improvements in quality of care for patients
Patients using the electronic medicines optimisation system	Facilitated use by healthcare professional	Lack of direct access to information to benefit shared care and self-management
Patients using the electronic medicines optimisation system	Difficulties obtaining passwords and logging on

ISSN: 1472-6963