Facilitators and barriers identified from the selected studies classified by system factors77
| System factor | Facilitator/Barrier | Studies, n (%) |
| Healthcare professionals | ||
| Clinical pharmacist availability | Facilitator | 7 (41%)13 51 53–55 58 59 |
| Multiprofessional collaboration | Both (facilitator when good collaboration, barrier when poor collaboration) | 3 (18%)14 50 51 |
| Staff perception of limited intervention value | Barrier | 2 (12%)52 56 |
| Off shift hours (eg, clinical pharmacists) | Barrier | 2 (12%)13 53 |
| Tasks | ||
| Pharmacist participation on ICU multiprofessional ward round | Facilitator | 4 (24%)13 51 58 59 |
| Increased workload associated with discharge intervention process (eg, medicines reconciliation, checklist) | Barrier | 3 (18%)13 50 56 |
| Structured approach to medicines reconciliation | Facilitator | 2 (12%)13 50 |
| Gaps in educational process | Barrier | 2 (12%)52 58 |
| Education package revised, condensed and delivered regularly | Facilitator | 1 (6%)51 |
| Focus on the care transition | Facilitator | 1 (6%)13 |
| Technologies and tools | ||
| Auto-population of discharge information from electronic health record | Facilitator | 3 (18%)48 50 61 |
| Checklist integrated into existing work flow/systems | Facilitator | 3 (18%)48 56 61 |
| Tailored discharge letter/tool software | Facilitator | 3 (18%)48 60 61 |
| Guideline and supporting documentation | Facilitator | 1 (6%)59 |
| Organisational conditions | ||
| Quality improvement culture | Facilitator | 2 (12%)50 61 |
| Task allocation | Both | 2 (12%)50 61 |
| Ability to initiate the summary on patient admission and edit throughout the ICU stay | Facilitator | 1 (6%)48 |
| Patient discharged from ICU out of hours | Barrier | 1 (6%)13 |
| Short discharge time-frame | Barrier | 1 (6%)13 |
ICU, intensive care unit.