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Bibliographic Details
Main Authors: Nadalini, Nettuno, Mehri, Tarannom, Hoekman, Anne H, Kagialari, Katerina, Doornberg, Job N, van der Laan, Tom P, Oosterhoff, Jacobien H F, Schoonbeek, Rosanne C, Bootsma-Robroeks, Charlotte M H H T
Format: Preprint
Published: 2026
Subjects:
Online Access:https://arxiv.org/abs/2604.19774
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Table of Contents:
  • Writing discharge summaries to transfer medical information is an important but time-consuming process that can be assisted by Large Language Models (LLMs). This prospective mixed methods pilot study evaluated an Electronic Health Record (EHR)-integrated LLM to generate discharge summaries drafts. In total, 379 discharge summaries were generated in clinical practice by 21 residents and 4 physician assistants during 9 weeks in our academic hospital. LLM-generated text was copied in 58.5% of admissions, and identifiable LLM content could be traced to 29.1% of final discharge letters. Notably, 86.9% of users self-reported a reduction in documentation time, and 60.9% a reduction in administrative workload. Intent to use after the pilot phase was high (91.3%), supporting further implementation of this use-case. Accurately measuring the documentation time of users on discharge summaries remains challenging, but will be necessary for future extrinsic evaluation of LLM-assisted documentation.