Table 1.

Summaries of Key Interview Guide Questions for A Clinicians, B Stakeholders, and C Veterans

A.     Clinician Interview Guide Summarized Questions 1) Determinants of Potentially Inappropriate Medication Prescriptions ·         Describe antibiotic prescribing at your site. ·         What types of situations are there in which antibiotics or NSAIDs might not be prescribed? ·         Describe challenges communicating with patients about antibiotics and NSAIDs. 2) Knowledge and Awareness ·         Describe your decision-making process for prescription decisions. ·         At your site, do you think that antibiotics or NSAIDs are prescribed when maybe they shouldn’t be? ·         Do you ever hear about adverse events when these medications are prescribed? ·         What existing efforts outside of your control influence how you prescribe antibiotics and NSAIDs? ·         If an antibiotic or NSAID caused harm to one of your or your colleagues’ patients, how would this influence your prescribing? ·         There are several interventions to facilitate change, which would you find most helpful? Which of the following interventions would be most helpful to facilitate change; Learning about your own prescribing patterns, Specific patient adverse events, Real-time clinical decision support, Peer expert, Incentives to follow-up on patients. 3) Integration into Practice ·         Discuss how you would interact with the data provided in the feedback report. ·         Describe a desirable conversation about your prescribing with a pharmacist.

B.      Stakeholder Interview Guide Summarized Questions 1) Determinants of Potentially Inappropriate Prescribing ·         What types of situations are there in which antibiotics or NSAIDs might not be prescribed? ·         Describe your experience with prescribing in acute care settings. ·         Discuss the main barriers in addressing potentially inappropriate prescribing? ·         Describe possible strategies to address this problem. 2) Integration into Practice ·         Describe what clinicians should do with these data. ·         Discuss your experience with any existing similar reports. ·         Do you think the use of non-financial incentives would motivate a clinician to review the report? ·         Describe how this intervention should be implemented in clinical practice on a nation scale. ·         Describe the potential barriers and facilitators to implementing this intervention on a broader scale.

C.     Veteran Interview Guide Summarized Questions 1) Determinants of Potentially Inappropriate Medication Prescriptions ·         Do you expect to leave with a prescription today? ·         What information about a prescribed medication would you like to know? 2) Integration into Practice ·         Discuss what you would want to know about an antibiotic prescription. ·         Discuss what you would want to know about a NSAID prescription. ·         Discuss what you would want to know if not prescribed a medication. ·         Describe the desired discussion with your clinician about their prescription decision. ·         Describe education materials that would be helpful to understand the clinician’s prescription decision.