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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