EXERTIONAL RHABDOMYOLYSIS AS A CLINICAL MANIFESTATION OF FATTY ACID OXIDATION METABOLISM DEFECT

recall of their diagnoses and treatment plan is critical for optimal adherence to treatment, appropriate follow up and improved clinical outcomes.Aims: To assess whether a co-produced and co-designed patient centred discharge form (PCDF) improves patient's understanding of their discharge diagnosis, in hospital treatment and discharge plan.Methods: A sample of 111 patients was enrolled through simple randomisation by admission to one of two identically operating General Medicine wards.Over a three-month period, 59 patients received the codesigned and co-produced form and 52 patients were controls.Assessment of patients' understanding of diagnosis, in hospital management, post discharge instructions and overall experience of care was undertaken by blinded phone survey approximately 6 days post discharge.Results: Patients who received the PCDF were significantly more likely to report adequate understanding of their hospital management (P < 0.001) and post discharge plan (P < 0.001).There was no statistically significant difference between the intervention and control groups in terms of understanding of diagnosis.Patients who received the PCDF reported high levels of better understanding of care and recall of admission. Conclusion:The PCDF is associated with improvements in patient understanding of their hospital management and post discharge instructions.It is also associated with high levels of satisfaction as assessed by measures of patient experience.Wider use of this form in other specialties and clinics may improve communication with patients and optimise their satisfaction with care received.