<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Shamsuddin, Azwa</style></author><author><style face="normal" font="default" size="100%">Jeffries, Mark</style></author><author><style face="normal" font="default" size="100%">Sheikh, Aziz</style></author><author><style face="normal" font="default" size="100%">Laing, Libby</style></author><author><style face="normal" font="default" size="100%">Salema, Nde-Eshimuni</style></author><author><style face="normal" font="default" size="100%">Avery, Anthony J</style></author><author><style face="normal" font="default" size="100%">Chuter, Antony</style></author><author><style face="normal" font="default" size="100%">Waring, Justin</style></author><author><style face="normal" font="default" size="100%">Keers, Richard N</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Strategies supporting sustainable prescribing safety improvement interventions in English primary care: a qualitative study</style></title><secondary-title><style face="normal" font="default" size="100%">BJGP Open</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2021-10-01 00:00:00</style></date></pub-dates></dates><elocation-id><style  face="normal" font="default" size="100%">BJGPO.2021.0109</style></elocation-id><doi><style  face="normal" font="default" size="100%">10.3399/BJGPO.2021.0109</style></doi><volume><style face="normal" font="default" size="100%">5</style></volume><issue><style face="normal" font="default" size="100%">5</style></issue><abstract><style  face="normal" font="default" size="100%">Background While the use of prescribing safety indicators (PSI) can reduce potentially hazardous prescribing, there is a need to identify actionable strategies for the successful implementation and sustainable delivery of PSI-based interventions in general practice.Aim To identify strategies for the successful implementation and sustainable use of PSI-based interventions in routine primary care.Design &amp; setting Qualitative study in primary care settings across England.Method Anchoring on a complex pharmacist-led IT-based intervention (PINCER) and clinical decision support (CDS) for prescribing and medicines management, a qualitative study was conducted using sequential, multiple methods. The methods comprised documentary analysis, semi-structured interviews, and online workshops to identify challenges and possible solutions to the longer-term sustainability of PINCER and CDS. Thematic analysis was used for the documentary analysis and stakeholder workshops, while template analysis was used for the semi-structured interviews. Findings across the three methods were synthesised using the RE-AIM (reach, efficacy, adoption, implementation, and maintenance) framework.Results Forty-eight documents were analysed, and 27 interviews and two workshops involving 20 participants were undertaken. Five main issues were identified, which aligned with the adoption and maintenance dimensions of RE-AIM: fitting into current context (adoption); engaging hearts and minds (maintenance); building resilience (maintenance); achieving engagement with secondary care (maintenance); and emphasising complementarity (maintenance).Conclusion Extending ownership of prescribing safety beyond primary care-based pharmacists, and achieving greater alignment between general practice and hospital prescribing safety initiatives, is fundamental to achieve sustained impact of PSI-based interventions in primary care.</style></abstract></record></records></xml>