Hospital Discharge Summary Understanding
Conditions
Brief summary
This will be an open-label, parallel-group, randomized trial. Patients will be randomized to review the patient-friendly discharge instructions at the time of discharge (intervention group) vs the standard of care. The intervention differs from the standard of care in that patients will be given additional medical documentation in the intervention group.
Interventions
BEHAVIORALAI-Generated Discharge Instructions
Patient-friendly hospital discharge instructions generated by GPT-4, an advanced natural language processing model.
BEHAVIORALStandard of Care Discharge Instructions
Standard hospital discharge instructions.
Sponsors
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Admitted to Inpatient Medicine unit at NYULH * Able to read and understand English * Willing and able to consent to this research
Exclusion criteria
* Inpatient Hospice * Discharged on home hospice
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Summaries with Positive Outcome on Composite Measure of Readability and Understandability | Day 1 (At Discharge) | This is a composite outcome measure. Readability of discharge summaries will be measured using the Flesch-Kincaid Grade Level assessment, which measures how challenging a text may be for readers. Scores on the Flesch-Kincaid assessment are rated as follows: 0-3: Basic reading level, (kindergarten or elementary school) 3-6: Basic reading level, (elementary school ) 6-9: Average reading level, (middle school) 9-12: Average reading level, (high school) 11-18: Skilled readers. Understandability will be evaluated by the presence of simplified description of primary diagnosis and hospital intervention. Summaries with both 1) presence of simplified description of primary diagnosis and hospital intervention, and 2) a Flesch-Kincaid grade level greater than or equal to 6 and less than 8, will be considered to have a positive outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes made to AI-Generated Content | Day 1 (At Discharge) | Changes made to content will be assessed using edit distance. |
| AI-Generated Content Perception Survey: Safety | Day 1 (At Discharge) | Patients will be given a survey in which they are asked whether they feel safe with the discharge instructions they were provided. The total score is the number of participants who respond Yes, definitely or Yes, somewhat to the question. |
| AI-Generated Content Perception Survey: Understandability | Day 1 (At Discharge) | Patients will be given a survey in which they are asked whether the instructions were easy to understand. The total score is the number of participants who respond Yes, definitely or Yes, somewhat to the question. |
| AI-Generated Content Perception Survey: Empathy | Day 1 (At Discharge) | Patients will be given a survey in which they are asked whether the instructions were written in an empathetic manner. The total score is the number of participants who respond Yes, definitely or Yes, somewhat to the question. |
Countries
United States
Outcome results
None listed