Video-recOrded hospItal dischaRge (VOIR)

This study evaluates the suitability and acceptability of video-recorded discharge via the Patient Knows Best app. Through a randomized control trial, patients receive either standard discharge care or standard care supplemented with video-recorded discharge. Clinical teams record briefings covering medication and wound care, which patients can access multiple times on their smart devices. Patients and clinical staff complete questionnaires to assess acceptance and feasibility. Feasibility is determined by recruitment, retention, and completion rates, with patient engagement and viewing habits also analyzed. The study aims to enhance patient understanding and continuity of care through accessible discharge information.

Sex

All

Minimum age

18 Years

Inclusion Criteria:

* Age \>18 years old
* Anticipated to be discharged to their own home or that of a relative;
* Staying for at least one night on a participating hospital ward;
* Recently discharge (in the last 2 months) from the participating hospital ward with the same clinical problem as assessed by the care professionals;
* From cardiothoracic centre-Basildon or Elderly ward-Southend
* Have a personal digital device (e.g., mobile or tablet)/ or their close relative and mobile app
* Able to read and understand English.
* Relative or patient willing and able to give informed consent
* Clinical Frailty scale of ≤ 8 using Rockwood Frailty Scale

Exclusion Criteria:

* Patients live out of the area or plan to be transferred to another acute hospital;
* Discharged after recurrent admissions for the same clinical complaint as assessed by the care professionals;
* Patient or immediate carer don't have a personal digital device capable of hosting Patient Knows Best/ Ortus-iHealth app;
* Patient or relative unable or unwilling to upload the personalised discharge video to mobile app;
* Admitted for psychiatric reasons (other than dementia/delirium);
* Identified as being at the end of life and whose care has become palliative / clinical Frailty scale of \> 8 using Rockwood Frailty Scale

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