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<p>Patients forget up to 80% of information conveyed during medical consultations. While clinicians may provide hand-written notes to patients during in-person appointments, such opportunities are limited in telehealth. Palliative care patients with complex information needs may benefit from consultation summaries. We developed a consultation summary application (CSA) to generate patient-facing summaries during video telehealth, in a palliative care context. Traditional research methods fall short in early identification and resolution of socio-technical factors, e.g., workflow compatibility, which impact the adoption of digital health innovations. Drawing on the Service Readiness Level Framework, we adopted a phased approach to generating evidence for the CSA. We conducted clinical simulations with seven clinician-simulated patient dyads involving the metastatic lung cancer scenario to examine and address usability and workflow integration issues prior to real-world implementation. Both clinicians and simulated patients perceived the CSA as a valuable tool to support palliative care patients with information recall and self-management. We recommend clinical simulation to de-risk real-world deployment, and optimise the digital health innovations.</p>

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Using clinical simulation to evaluate a video telehealth consultation summary application

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月11日

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  • Teresa O’Brien,
  • Kit Huckvale,
  • Olivia Metcalf,
  • Wendy Chapman,
  • Hasan Ferdous,
  • Rashina Hoda,
  • Peter Poon,
  • Andy Li,
  • Laura Bird,
  • Isabella Hall,
  • Emmy Trinh,
  • Christopher Bain,
  • Sam Georgy,
  • Xiao Chen,
  • Mahima Kalla

摘要

Patients forget up to 80% of information conveyed during medical consultations. While clinicians may provide hand-written notes to patients during in-person appointments, such opportunities are limited in telehealth. Palliative care patients with complex information needs may benefit from consultation summaries. We developed a consultation summary application (CSA) to generate patient-facing summaries during video telehealth, in a palliative care context. Traditional research methods fall short in early identification and resolution of socio-technical factors, e.g., workflow compatibility, which impact the adoption of digital health innovations. Drawing on the Service Readiness Level Framework, we adopted a phased approach to generating evidence for the CSA. We conducted clinical simulations with seven clinician-simulated patient dyads involving the metastatic lung cancer scenario to examine and address usability and workflow integration issues prior to real-world implementation. Both clinicians and simulated patients perceived the CSA as a valuable tool to support palliative care patients with information recall and self-management. We recommend clinical simulation to de-risk real-world deployment, and optimise the digital health innovations.