Prevalence and risk of malnutrition amongst older people admitted to hospital remains high and a holistic approach to nutritional management is needed. An ethnographic study across 5 hospitals identified several factors contributing to undernutrition in older people in hospital, underpinned by a lack of accountability in nutritional care. The current study adopted an iterative co-design process to develop a novel prototype for nutritional care in hospitals that employed a series of smart interfaces and built a chain of accountability into patient food provision.
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