Patient-Representing Population’s Perceptions of GPT-Generated Versus Standard Emergency Department Discharge Instructions: Randomized Blind Survey Assessment

Patient-Representing Population’s Perceptions of GPT-Generated Versus Standard Emergency Department Discharge Instructions: Randomized Blind Survey Assessment

ABSTRACT

Discharge instructions from the emergency department (ED) to home are crucial for patient communication but often get overlooked. Generative artificial intelligence and large language models (LLMs) offer a solution to create high-quality and personalized discharge instructions. This study aimed to assess patient perspectives of LLM-generated discharge instructions using ChatGPT in the ED.

METHODS

The study involved creating realistic ED encounters and generating LLM-generated discharge instructions using GPT-4 in Azure OpenAI Service. Standard discharge instructions were also created for comparison. These instructions were then presented to Amazon MTurk respondents representing patient populations for assessment.

RESULTS

The findings indicated that respondents favored GPT-generated return precautions over standard instructions, and overall rated GPT-generated instructions as more understandable and satisfactory. There were significant differences in favor of GPT-generated instructions in various subsections, particularly in interpretability of significance and satisfaction.

CONCLUSIONS

The study suggests that LLMs like ChatGPT could help reduce the documentation burden in the ED and improve communication with patients by providing tailored and more readable instructions.

PMID:39094112 | DOI:10.2196/60336

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