HEARt  Sounds: Testing the acceptability and feasibility of audio recordings to improve discharge communication for cardiology inpatients


Ineffective discharge communication systems can significantly impact patient understanding, safety and treatment adherence, especially for cardiology patients who leave the hospital with complex discharge plans, a multitude of high-risk medications, post-procedural care instructions and recommendations for drastic lifestyle changes, all delivered in a time-pressured discharge discussion.

This pilot project aims to:

1.  Determine whether providing audio recorded discharge instructions as a supplemental discharge communication tool will be feasible for cardiology providers and patients to use during the inpatient discharge discussion. 

2.  Determine whether patients and their families will USE audio recorded discharge instructions AFTER their hospital discharge to self-manage care.

3.  Explore the impact of audio recording on patient understanding and ability to self-manage care.

Patients will have the opportunity to choose their preferred method of audio recordings: MP3, smartphone or Open Recording’s internet-based ORALS system (Open Recording Automated Logging System).

Heart Sounds hopes to increase patient and family engagement in healthcare by providing preference sensitive options for the delivery of important medical information.

This project is being led by Dr. Stacey L. Schott, Cardiovascular Disease Fellow, Leadership Preventive Medicine Resident and Instructor of Medicine at Dartmouth Hitchcock Medical Center, Lebanon, NH and by Dr. Paul Barr, Assistant Professor at The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH.  This work is supported by a grant from the Hitchcock Foundation, Lebanon, NH.

To learn more about the study, please visit https://clinicaltrials.gov/ct2/show/NCT03735342

Questions ? Feel free to contact Dr. Schott at Stacey.L.Schott@hitchcock.org or Dr. Barr at paul.j.barr@dartmouth.edu.