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ChatGPT for improving postoperative instructions in multiple fields of plastic surgery.
Andi Zhang1, Cindy Xin Ran Li2, Merisa Piper3
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Saint Louis University School of Medicine, St. Louis, MO, USA.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|October 9, 2024
Summary
ChatGPT can simplify complex postoperative instructions to a sixth-grade reading level, enhancing patient comprehension and safety. Prompting the AI for a lower grade level improves readability without sacrificing essential care information.
Area of Science:
- Medical Education
- Artificial Intelligence in Healthcare
- Patient Communication
Background:
- Postoperative discharge instructions often exceed recommended reading levels, hindering patient understanding and adherence.
- Effective patient communication is crucial for successful home recovery and reducing readmissions.
- National guidelines advocate for a sixth-grade reading level for patient education materials.
Purpose of the Study:
- To evaluate the effectiveness of ChatGPT in rewriting postoperative instructions to a sixth-grade reading level.
- To assess the readability, understandability, actionability, and safety of AI-generated instructions.
- To compare AI-rewritten instructions with original materials across four plastic surgery subspecialties.
Main Methods:
- Original postoperative instructions from four plastic surgery procedures were collected.
- ChatGPT was employed to rewrite instructions at fourth- and sixth-grade reading levels.
- Readability, understandability, actionability, and safety were assessed using validated tools and surgeon review.
Main Results:
- Original instructions averaged seventh- to eighth-grade reading levels.
- ChatGPT-rewritten instructions at the fourth-grade level improved readability but decreased actionability.
- Understandability scores improved with lower reading levels, and safety was maintained across all rewrites.
Conclusions:
- ChatGPT effectively adapts postoperative instructions to a sixth-grade reading level, enhancing patient comprehension.
- A sixth-grade reading level optimizes the balance between understandability and actionability for patient instructions.
- AI tools like ChatGPT show promise in improving patient care through accessible medical information.
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