The quality and safety of using generative AI to produce patient-centred discharge instructions.

Stanceski, Kristian; Zhong, Sharleen; Zhang, Xumou; Khadra, Sam; Tracy, Marguerite; Koria, Linda; Lo, Sarita; Naganathan, Vasi et al. · NPJ Digit Med · 2024

cross_sectional · Level IV

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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.