Original Investigation

Evaluating Hospital Course Summarization by an Electronic Health Record–Based Large Language Model

JAMA Network Open 10.1001/jamanetworkopen.2025.26339

August 13, 2025 at 11:00 AM EDT

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When asked to revise hospital courses (HCs) toward a quality standard, are there differences in how many edits physicians make to large language model (LLM)–generated HCs compared with physician-generated HCs?This quality improvement study of 100 general medicine admissions found that physicians edited a statistically significantly smaller percentage of LLM-generated HCs than physician-generated HCs (mean 31.5% vs 44.8%, respectively).These findings suggest LLM HCs were of higher quality than physician HCs and would be feasible to implement into practice.

Corresponding Author: William R. Small, MD, MBA, NYU Grossman School of Medicine, 550 First Ave, New York, NY 10016 (will.small@nyulangone.org).

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