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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