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A Pragmatic Trial of AI-Assisted Discharge Summary Generation
Sponsor: Unity Health Toronto
Summary
The goal of this study is to learn whether an artificial intelligence (AI) tool built into the electronic health record helps hospital physicians write discharge summaries. A discharge summary is the document that tells a patient's family doctor and other providers what happened during a hospital stay. The main questions this study aims to answer are: Does access to the AI tool reduce the time physicians spend writing discharge summaries? Does it change the quality of discharge summaries or how soon they are completed? How does it affect physician workload? Physicians will be randomly assigned to either have access to the AI tool or complete discharge summaries as they usually do. Physicians with access can choose whether to use the tool, and they review and edit any AI-generated text before it becomes part of the discharge summary.
Official title: An EHR-embedded Pragmatic Parallel-group, Operationally-driven Clinical Trial of AI-assisted Discharge Summary Generation
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
80
Start Date
2026-10-07
Completion Date
2027-02
Last Updated
2026-10-08
Healthy Volunteers
No
Conditions
Interventions
Epic Discharge Summary Hospital Course Generator
A generative AI (large language model) tool embedded in Epic that drafts a narrative of the patient's hospital course from existing chart data, including clinician notes, investigations, and medications and treatments. A draft is generated only when a clinician requests it, can be generated at any time during the hospitalization, and can be regenerated an unlimited number of times. Clinicians can choose a narrative (chronological) format, a problem-based format with a numbered entry for each clinical problem managed during the hospitalization, or an organ system-based format. The draft appears in a separate tab and is not automatically inserted into the discharge summary; clinicians may copy, edit, or disregard it.