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Table 5 Context-Mechanism-Outcome configurations concerning work practices

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

Context

Mechanism

Outcome

Multiple administrative work practices

Logging on, responding to alert, and reviewing patients through the system

Patients reviewed to ensure appropriate monitoring, to optimise medications, or to avoid hazardous combinations of drugs

Pre-existing division of labour within General Practices

Task allocation

General Practice workload

Task Prioritisation

Pre-emptive or timely review of individual patient

Pharmacist workload

Existing work practices developed and adapted

Can result in a more focused medication review

Pharmacist undertaking reviews in care homes

Accessing easily readable and informative data

Necessary workarounds to overcome technical issues

Necessary workarounds to find patient details