Box 2.
Themes, subthemes, and codes describing stakeholder views
| Main theme | Subthemes | Codes |
|---|---|---|
| Clinical impact | Communication | Current communication barriers at primary–secondary care interface |
| Discharge information accessibility for GPs | ||
| Patient empowerment | ||
| Clarity in transitional care | ||
|
| ||
| Error reduction | Occurrence of error in current system | |
| Quality of discharge medication information | ||
| Role of PHARMS device in error reduction | ||
|
| ||
| Future use of PHARMS | Use at admission | |
| Use at discharge | ||
| Use in community pharmacy | ||
| Use during travel | ||
|
| ||
| Intervention characteristics | Physical attributes | Shape and structure of PHARMS device |
|
| ||
| Technology | USB | |
| Mechanism of operation | ||
|
| ||
| Integration with usual care | Modification | Integration of information in GP software system |
| Mandatory completion of fields in hospital system | ||
| Use of hospital formulary | ||
| Improving patient knowledge | ||
|
| ||
| Workload | Process efficiency | |
| Time constraints | ||
|
| ||
| Deviation from usual practice | Uncertainty regarding PHARMS device operation | |
| Infrequent use of PHARMS device | ||
| Role of nursing staff in facilitating use of PHARMS device | ||
|
| ||
| IT | Hospital hardware issues | |
| Mixed electronic and paper hospital record system | ||
| Security | ||
| Installation issues in hospital | ||
PHARMS = patient-held active record of medication status. IT = information technology. USB = universal series bus.