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Table 4 Context-Mechanism-Outcome configurations concerning the monitoring of prescribing

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

Context Mechanism Outcome
Clinical Commissioning Group engagement with prescribing alerts Alerts designed and results fowarded to practices Prescribing patterns and trends benchmarked against national targets and guidelines
Identify specific patients Pre-emptive or timely review of individual patients
Monitoring prescribing by conducting searches based upon local “initiatives” Efficient use of time Prescribing patterns benchmarked across the Clinical Commissioning Group
Highlight suboptimal prescribing Reduction of knowledge gaps to optimise use of medicines
Reward good practice