Kristian Stanceski, Sharleen Zhong, Xumou Zhang, Sam Khadra, Marguerite Tracy, Linda Koria, Sarita Lo, Vasi Naganathan, Jinman Kim, Adam G. Dunn, Julie Ayre
{"title":"The quality and safety of using generative AI to produce patient-centred discharge instructions","authors":"Kristian Stanceski, Sharleen Zhong, Xumou Zhang, Sam Khadra, Marguerite Tracy, Linda Koria, Sarita Lo, Vasi Naganathan, Jinman Kim, Adam G. Dunn, Julie Ayre","doi":"10.1038/s41746-024-01336-w","DOIUrl":null,"url":null,"abstract":"<p>Patient-centred instructions on discharge can improve adherence and outcomes. Using GPT-3.5 to generate patient-centred discharge instructions, we evaluated responses for safety, accuracy and language simplification. When tested on 100 discharge summaries from MIMIC-IV, potentially harmful safety issues attributable to the AI tool were found in 18%, including 6% with hallucinations and 3% with new medications. AI tools can generate patient-centred discharge instructions, but careful implementation is needed to avoid harms.</p>","PeriodicalId":19349,"journal":{"name":"NPJ Digital Medicine","volume":"170 1","pages":""},"PeriodicalIF":12.4000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"NPJ Digital Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41746-024-01336-w","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Patient-centred instructions on discharge can improve adherence and outcomes. Using GPT-3.5 to generate patient-centred discharge instructions, we evaluated responses for safety, accuracy and language simplification. When tested on 100 discharge summaries from MIMIC-IV, potentially harmful safety issues attributable to the AI tool were found in 18%, including 6% with hallucinations and 3% with new medications. AI tools can generate patient-centred discharge instructions, but careful implementation is needed to avoid harms.
期刊介绍:
npj Digital Medicine is an online open-access journal that focuses on publishing peer-reviewed research in the field of digital medicine. The journal covers various aspects of digital medicine, including the application and implementation of digital and mobile technologies in clinical settings, virtual healthcare, and the use of artificial intelligence and informatics.
The primary goal of the journal is to support innovation and the advancement of healthcare through the integration of new digital and mobile technologies. When determining if a manuscript is suitable for publication, the journal considers four important criteria: novelty, clinical relevance, scientific rigor, and digital innovation.