Implementation experiences: discrepancies between “as intended” and “as delivered”.
The clinical impact of ADRe was measured via a) problems found b) changes in processes and outcomes of care: additional care delivered, as indicated by nurses, and number and nature of clinical gains, and c) the potential for ADRe to enhance pharmacists’ medication reviews. All signs and symptoms were recorded to avoid outcome selection bias.
The barriers to, and facilitators of utilisation in routine practice were investigated using both observation and interview data. Contextual elements contributing to clinical gain were noted.
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