Table 1: Medication process problems (n = 309).

N %
Medication discrepancy 188 60.8
    New medication not listed on the MARL 69 36.7
    Medication stopped by the prescriber but still listed on the MARL 43 22.9
    Discrepant time of intake 25 13.3
    Discrepant frequency 24 12.8
    Discrepant dose 21 11.2
    Therapeutic duplication listed on MARL 5 2.6
    Discrepant information on route of administration 1 0.5
Undelivered MARL 103 33.3
Undelivered medicationa 16 5.2
Excessive medication deliverya 2 0.7

aMedication was not delivered in MDD.