Patient characteristics from the patient records review
| Characteristic | Patients | |
| Total, n (%) | 50 | (100) |
| Female sex, n (%) | 26 | (52) |
| Medication management characteristics, n (%) | ||
| Medication reconciliation at admittance* | 38 | (76) |
| Medication review in hospital† | 2 | (4) |
| Number of information sources used in medication reconciliation‡, n (%) | ||
| 1 | 21 | (60) |
| 2 | 12 | (34) |
| 3–4 | 2 | (6) |
| Medication lists at discharge in accordance with guidelines§, n (%) | ||
| Fully | 3 | (6) |
| Partially | 6 | (12) |
| Not in accordance with guidelines | 41 | (82) |
*Documented in the paper medication chart or admission journal.
†Documentation of patient discussed in the interdisciplinary orthopaedic-geriatric meeting, a supervision by a geriatrician after referral or as an independent medication review.
‡There were three medication reconciliations documented without any information sources declared.
§Indication of new, changed or stopped medication, reasons for changed medication during hospitalisation and details on follow-up (eg, duration of short course, monitoring, responsibility).