Aim:To determine pharmacist involvement in the hospital discharge process and to explore the potential for further involvement. Method: Questionnaires were distributed to staff at participating hospitals with pharmacy departments and followed-up with focus groups to further explore relevant issues. Qualitative data were explored thematically. Results: 163 questionnaires were completed by pharmacists, nurses, doctors and administrators from 53 hospitals. Writing of discharge prescriptions was the problematic component of the discharge process and the pressure to discharge the patient contributed to errors. A range of solutions was discussed and it was generally noted that increased pharmacist involvement in the discharge process would improve efficiency. Conclusion: The increased involvement of pharmacists in the hospital discharge process by writing discharge prescriptions would benefit the health system, notwithstanding the need for legislative change and a commitment to systems and workforce reform.