Fig. 1.

Timeline of the COACH program and of the introduction and implementation of the program. ^a discrepancies between medication prescribed pre-admission and medication prescribed in the hospital. CP = community pharmacy, DRPs = drug-related problems, ED = emergency department, GP = general practitioner, PC = patient counselling, MR = medication reconciliation, t = 0,1,6: respectively, at discharge,1 month after discharge and 6 months after discharge