Characteristics of study population (n = 60)
| Mean (SD) age (years) | 56 (24) |
| % women (n) | 50% (30) |
| Mean (SD) no of prescription medications per patient at admission | 3.6 (3.5) |
| Admitting service, % (n) | |
| Surgery | 33% (20) |
| Medicine | 33% (20) |
| ICU/CCU | 14% (8) |
| Other | 20% (12) |
| Unplanned admission, % (n) | 78% (47) |
| Mean (SD) length of stay (days) | 6.9 (6.8) |