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Table 2 Summary of primary and secondary themes and indicative quotes for clinician concerns and requirements

From: Clinician acceptability of an antibiotic prescribing knowledge support system for primary care: a mixed-method evaluation of features and context

1º Themes

Concerns

Requirements

2º Sub-themes

Safe and accurate prescribing

‘…Major part of it, would be to make sure I’m not prescribing something incorrectly’

Clarity of content and purpose

‘Step by step explanation of what it is, how it benefits us, and what the risk score means’

Information accessibility

‘looking back on records opening up documents seeing what's come before so, especially because prescriptions from urgent care any clinics, they will not appear on a medication screen, so they take time to look for.’

Ease and efficiency of use

‘So I think, really, we have to think people, especially my generation, you know we weren't brought up with all this it so it has to be easy to use, it really does.’

Patients1

‘At the end of the day, you want to do the best by your patient …helping the patient out through avoiding incorrect prescribing’

Integration/ Interoperability

‘I was kind of in agreement with what everyone was saying about moving in between systems and just making sure that it was all kind of concise, to the point that still have the relevant information on there’

Avoiding duplication

‘Must have additional benefit to current systems or it won’t get used.’

Patient-centred

‘Ensuring my patient understands the advice and treatment offered is vital to me.’

Time

‘Because sometimes you're at a lost end and you can't think because they're allergic to so many things, and you can't think what you're meant to do… anything that will save us [time] and be safer.’

Personalised

‘Personalised ones [leaflets] I think will go down well as patients might feel they’re being ‘fobbed’ off with generic info’

Technical issues

‘Because in a 10 min consultation with the patient you don't want to be struggling with a template which you know takes us time opening up or that we have to search through.’

Training and documentation

‘IF given proper training I think it will be very useful… I find that training is often lacking.’

Autonomy 2

‘I would prefer something that you could actually open up yourself, when you feel a bit… out your depth or [the case is] a bit … difficult.’

‘Would we open that up if it wasn't automatic? I mean if it's an automatic opening we can we can shut it down if we don't want to see it?’

Accessibility3

‘so that we could see it in their language and in English and know exactly what the advice they're being given is, and then we can sort of comment and clarify’

  1. Tertiary sub-themes: 1 = Patient Care, Communication, Reactions; 2 = Autonomy Freedom of choice, Reliance on tools; 3 = IT-literacy and access, Language barriers, Learning Difficulties