Table 1.

Medication Discrepancies Identified During the Study Period

Discrepancy Type	Definition	No. of Discrepancies Identified
Type 0	No discrepancy	570
Type 1	Documented intentional discrepancy: physician made an intentional choice to add, change, or discontinue a medication, and this choice was clearly documented	339
Type 2	Undocumented intentional discrepancy: physician made an intentional choice to add, change, or discontinue a medication, but this choice was not clearly documented	285
Type 3	Unintentional discrepancy: physician unintentionally changed, added, or omitted a medication that the patient was taking before admission	75
Unclassified	Pharmacist did not specify the classification on the form	76