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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
61
Patient-friendly hospital discharge instructions generated by GPT-4, an advanced natural language processing model.
Standard hospital discharge instructions.
NYU Langone Health
New York, New York, United States
Number of Summaries with Positive Outcome on Composite Measure of Readability and Understandability
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."
Time frame: Day 1 (At Discharge)
Changes made to AI-Generated Content
Changes made to content will be assessed using edit distance.
Time frame: Day 1 (At Discharge)
AI-Generated Content Perception Survey: Safety
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.
Time frame: Day 1 (At Discharge)
AI-Generated Content Perception Survey: Understandability
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.
Time frame: Day 1 (At Discharge)
AI-Generated Content Perception Survey: Empathy
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
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.
Time frame: Day 1 (At Discharge)