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Updated: Jan 13, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Customized Education Sheets Generated by ChatGPT Improve Parental Visit Satisfaction and Procedural Knowledge Prior
Sarah Pradhan1, Kate McCormick2, Luc Mertens2
1Labatt Family Heart Center, The Hospital for Sick Children, Division of Cardiology, Temerty School of Medicine, Toronto, ON, Canada. sarah.pradhan6@gmail.com.
Abstract:
Written educational materials have been found to be effective in the delivery of pre-operative information. However, creating personalized educational materials using large-language models (LLM) such as GPT-4 tailored to parental educational level has not yet been described in pediatric cardiology. A prospective single-center quality improvement study from December 2023 to March 2024 was completed with ChatGPT used to generate two pediatric cardiac catheterization information sheets at two different reading levels (6th and 10th grade) to improve procedural understanding by families. Surveys were distributed according to the highest level of education of the parent, along with a clinic satisfaction survey using a Likert scale. Twenty-six families were recruited. ChatGPT rapidly and accurately generated information sheets at the reading level requested. Mean pre- and post-education sheet Likert scale scores for "do you feel well-informed why your child's cardiac catheterization is being done?" were 4.27 and 4.85, respectively, with a significant mean improvement of 0.57 (p < 0.01). Families responded that the education sheet improved their overall satisfaction of the clinic visit with a mean survey score of 4.5 ± 0.8. 96% of families responded that the education sheet improved their understanding of the child's procedure. Our study demonstrates that LLMs such as GPT-4 can be valuable tools to adjust medical education to a specific reading level and augment a pre-procedural visit with healthcare professionals by improving clinic satisfaction and understanding of an otherwise complex procedure.
Related Concept Videos
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac Catheterization IV: Nursing Management
Flow Sheet
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Cardiac Catheterization II: Right Heart Catheterization
Methods of Documentation III: PIE

