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Research

Transforming healthcare documentation: harnessing the potential of AI to generate discharge summaries

Reece Alexander James Clough, William Anthony Sparkes, Oliver Thomas Clough, Joshua Thomas Sykes, Alexander Thomas Steventon and Kate King
BJGP Open 2024; 8 (1): BJGPO.2023.0116. DOI: https://doi.org/10.3399/BJGPO.2023.0116
Reece Alexander James Clough
1 Institute of Naval Medicine, Gosport, UK
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  • For correspondence: reece.clough@nhs.net
William Anthony Sparkes
1 Institute of Naval Medicine, Gosport, UK
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Oliver Thomas Clough
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Joshua Thomas Sykes
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Alexander Thomas Steventon
1 Institute of Naval Medicine, Gosport, UK
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Kate King
2 Academic Department of Military General Practice, Research & Clinical Innovation, Defence Medical Services, ICT Centre,, Birmingham, UK
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    Figure 1. Example of a mock patient vignette
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    Figure 2. Initial prompt used in ChatGPT to generate discharge summary
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    Figure 3. Example of a ChatGPT-produced discharge summary
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    Figure 4. Summarised study methodology. AI = artificial intelligence
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    Figure 5. Minimum dataset score achieved for ChatGPT and junior doctor-generated discharge summaries

Tables

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    Table 1. Discharge summary minimum dataset
    Demographics and admission details
    Correct patient name
    Correct date of birth
    Consultant name
    Ward
    Date of admission
    Date of discharge
    Presenting
    Complete past medical history and comorbidities
    Complete medical history
    Known allergic or hypersensitivities
    Discharge summary is legible
    Medication information
    All doses
    All frequencies
    All routes of administration
    All formulations
    Therapy duration when a medication was initiated by hospital team where this was appropriate (for example, antibiotics, short-course corticosteroids, hypnotics)
    Therapy changes information
    All medicines initiated with reason(s)
    All medicines discontinued with reason(s)
    All medicines changed with reason(s)
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Vol. 8, Issue 1
April 2024
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Transforming healthcare documentation: harnessing the potential of AI to generate discharge summaries
Reece Alexander James Clough, William Anthony Sparkes, Oliver Thomas Clough, Joshua Thomas Sykes, Alexander Thomas Steventon, Kate King
BJGP Open 2024; 8 (1): BJGPO.2023.0116. DOI: 10.3399/BJGPO.2023.0116

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Transforming healthcare documentation: harnessing the potential of AI to generate discharge summaries
Reece Alexander James Clough, William Anthony Sparkes, Oliver Thomas Clough, Joshua Thomas Sykes, Alexander Thomas Steventon, Kate King
BJGP Open 2024; 8 (1): BJGPO.2023.0116. DOI: 10.3399/BJGPO.2023.0116
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Keywords

  • artificial intelligence
  • ChatGPT
  • discharge summary
  • general practice
  • Feasibility studies

More in this TOC Section

  • How does decontextualised risk information affect clinicians understanding of risk and uncertainty in primary care diagnosis? A qualitative study of clinical vignettes
  • Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017–2023
  • What’s been tried: a curated catalogue of efforts to improve access to general practice
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