Table 1.

Clinical pharmacy services provided in Northern Swedish hospitals

When	How often	Activity
At admission	Once for each patient	Admission medication reconciliation
During hospital stay	As long as the patient is still in the hospital ward	Medication review and monitoring
	In some wards, depending on need and time	Patient counselling
	When clinical relevant DRPs are found	Discussion with responsibly physician (for example participating in ward rounds)
At discharge	Occasionally	Discharge medication reconciliation