Innovation in information sharing between healthcare settings

This funded collaborative project between ARU and the Mid and South Essex Integrated Care System (MSE ICS) explored innovations in information sharing between healthcare settings to improve the transition of care after hospital discharge.

Logos of: Mid and South Essex Integrated Care System, NELFT NHS Foundation Trust, Mid and South Essex NHS Foundation Trust, Essex Partnership University NHS Foundation Trust, and Provide Community

Other partners are Mid and South Essex NHS Foundation Trust and Community Collaborative, Essex Partnership University Trust (EPUT), Provide Community, Northeast London NHS Foundation Trust (NELFT).

The transition from hospital to home presents particular challenges, especially for older adults, individuals with chronic conditions, and those recovering from major surgery. Studies indicate that up to one in five patients experience complications during this period, leading to avoidable emergency readmissions.

Despite the provision of written discharge information, many patients report feeling uncertain about their care after discharge, suggesting that verbal instructions alone are insufficient. The use of technology, such as mobile applications, has the potential to improve post-discharge support, enabling healthcare providers to monitor patients remotely and guide them through their recovery.

However, the effectiveness of such technology-enhanced interventions depends on patient digital literacy and staff digital readiness. It is essential to ensure that both patients and healthcare professionals possess the necessary skills and confidence to use these tools effectively.

Inadequate digital literacy among patients, particularly older individuals, may hinder the success of such interventions, while staff members must be equipped to deliver technology-supported care. Furthermore, system digital readiness to integrate these technologies into routine practice is crucial for ensuring smooth implementation within existing healthcare infrastructures.

Before implementing technology-based solutions, healthcare systems must assess both patient and staff readiness, as well as their capacity to integrate these innovations into their systems to enhance the quality of care provided.

Therefore, as part of this project, we conducted several workstreams, including scoping clinical data, systematically reviewing evidence, interviewing and surveying patients and staff on digital literacy, and designing a feasibility study to test the use of video-recorded discharge and a mobile application.

Abdulmohdi, N., et al. (2024) 'Video-recOrded hospItal dischaRge (VOIR): Feasibility Randomised Control Trial', Clinical Trial Registry.

Brueton, V. and Abdulmohdi, N. (2024) 'Technologies to enhance patient discharge from hospital: a scoping review', Researching for impact, Faculty of Health, Medicine and Social Care 10th Annual Research Conference, ARU (online), 10 May.

Brueton, V. and Abdulmohdi, N. (2024) 'Technologies to enhance patient discharge from hospital: A scoping review', RCN International Nursing Research Conference, Newcastle, 10-12 September 2024.