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Table 1 Realist definitions [27, 28]

From: Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis

Realist definitions

Context (C)

Pre-existing conditions which influence the success or failure of different interventions or programmes

Mechanism (M)

Characteristics of the intervention and people’s reaction to it; how it influences their reasoning

Outcome (O)

Intended and unintended results of the intervention as a result of a mechanism operating within a context

Initial rough theory

An early theory, informed by available evidence, about how, why, for whom, and in what circumstances the intervention is thought to work described as a context-mechanism-outcome (CMO) configuration

Refined theory

An initial theory that has been refined using primary or secondary evidence